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 $363.08 Median $5,248.07 Typical High $10,000.00 | Facility | None | $363.08 | $5,248.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $1,862.09 Typical High $2,344.23 | Professional | None | $177.83 | $1,862.09 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $11,220.18 Typical High $17,378.01 | Facility | None | $8,912.51 | $11,220.18 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $549.54 Typical High $2,137.96 | Professional | None | $154.88 | $549.54 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $812.83 Typical High $3,162.28 | Professional | 50 · Both sides | $234.42 | $812.83 | $3,162.28 |
CareFirst Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $6,918.31 | Professional | None | $144.54 | $162.18 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,162.28 Typical High $6,760.83 | Facility | None | $707.95 | $3,162.28 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $489.78 Typical High $3,019.95 | Professional | None | $158.49 | $489.78 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $1,862.09 Typical High $2,290.87 | Professional | None | $131.83 | $1,862.09 | $2,290.87 |
Medcost Setting Professional Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,884.03 | $3,630.78 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $3,548.13 | Facility | None | $177.83 | $288.40 | $3,548.13 |
Medcost Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Sentara Setting Facility Modifier None Typical Low $162.18 Median $1,737.80 Typical High $10,232.93 | Facility | None | $162.18 | $1,737.80 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $7,413.10 | Professional | None | $1,905.46 | $2,511.89 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,548.82 | $6,760.83 | $17,378.01 |
United Setting Professional Modifier None Typical Low $147.91 Median $467.74 Typical High $3,388.44 | Professional | None | $147.91 | $467.74 | $3,388.44 |
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 $134.90 Median $263.03 Typical High $1,621.81 | Professional | 54 · Surgery only | $134.90 | $263.03 | $1,621.81 |
Where Virginia sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 42nd of 51
$1,549
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.