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 $398.11 Median $4,897.79 Typical High $10,000.00 | Facility | None | $398.11 | $4,897.79 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $1,905.46 Typical High $3,388.44 | Professional | None | $204.17 | $1,905.46 | $3,388.44 |
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 $177.83 Median $616.60 Typical High $2,137.96 | Professional | None | $177.83 | $616.60 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $851.14 Typical High $3,235.94 | Professional | 50 · Both sides | $263.03 | $851.14 | $3,235.94 |
CareFirst Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $8,511.38 | Professional | None | $165.96 | $186.21 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,698.24 Typical High $3,548.13 | Facility | None | $707.95 | $1,698.24 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $562.34 Typical High $4,677.35 | Professional | None | $181.97 | $562.34 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $1,905.46 Typical High $2,344.23 | Professional | None | $147.91 | $1,905.46 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $5,370.32 Median $6,760.83 Typical High $6,760.83 | Professional | None | $5,370.32 | $6,760.83 | $6,760.83 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $5,495.41 | Facility | None | $204.17 | $331.13 | $5,495.41 |
Medcost Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Sentara Setting Facility Modifier None Typical Low $186.21 Median $1,737.80 Typical High $10,232.93 | Facility | None | $186.21 | $1,737.80 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $8,511.38 | Professional | None | $1,949.84 | $2,951.21 | $8,511.38 |
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 $165.96 Median $549.54 Typical High $4,570.88 | Professional | None | $165.96 | $549.54 | $4,570.88 |
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 $151.36 Median $302.00 Typical High $1,659.59 | Professional | 54 · Surgery only | $151.36 | $302.00 | $1,659.59 |
Where Virginia sits
The same service costs 10.5 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· 41st of 51
$1,585
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.