How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,412.54 | $1,412.54 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $645.65 | Professional | None | $302.00 | $537.03 | $645.65 |
CareSource Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $676.08 | Professional | None | $363.08 | $575.44 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $457.09 Typical High $1,096.48 | Facility | None | $34.67 | $457.09 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $1,584.89 | Professional | None | $323.59 | $616.60 | $1,584.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $891.25 | Professional | None | $602.56 | $758.58 | $891.25 |
United Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $2,041.74 | Facility | None | $100.00 | $131.83 | $2,041.74 |
United Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $1,318.26 | Professional | None | $288.40 | $549.54 | $1,318.26 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $234.42 Typical High $426.58 | Professional | 54 · Surgery only | $223.87 | $234.42 | $426.58 |
Where West Virginia sits
The same service costs 3.1 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
West Virginia· 25th of 51
$575
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.