How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $2,290.87 Median $5,370.32 Typical High $14,125.38 | Facility | None | $2,290.87 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,659.59 | $1,995.26 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,258.93 Typical High $1,513.56 | Professional | 62 · Two surgeons | $1,047.13 | $1,258.93 | $1,513.56 |
CareFirst Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,344.23 | Professional | None | $1,862.09 | $2,041.74 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,548.13 | Facility | None | $794.33 | $1,122.02 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,513.56 | $1,778.28 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,862.09 | $2,238.72 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,445.44 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,801.89 | Facility | None | $1,659.59 | $1,659.59 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $1,621.81 | Professional | None | $478.63 | $588.84 | $1,621.81 |
Sentara Setting Facility Modifier None Typical Low $676.08 Median $2,137.96 Typical High $7,943.28 | Facility | None | $676.08 | $2,137.96 | $7,943.28 |
Sentara Setting Professional Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $4,073.80 | Professional | None | $1,288.25 | $2,137.96 | $4,073.80 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $3,630.78 | Facility | None | $323.59 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,148.15 | $1,862.09 | $3,630.78 |
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 $1,513.56 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,513.56 | $1,737.80 | $1,737.80 |
Where Virginia sits
The same service costs 4.8 times more in Alaska than in Delaware. 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.
Virginia· 33rd of 51
$1,995
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.