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 $1,737.80 | Facility | None | $1,412.54 | $1,412.54 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $1,949.84 | Professional | None | $173.78 | $229.09 | $1,949.84 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $269.15 Typical High $4,073.80 | Facility | None | $34.67 | $269.15 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,202.26 Typical High $5,128.61 | Professional | None | $213.80 | $1,202.26 | $5,128.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,791.08 | $14,791.08 | $14,791.08 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $19,498.45 | Facility | None | $1,479.11 | $2,089.30 | $19,498.45 |
United Setting Professional Modifier None Typical Low $173.78 Median $1,096.48 Typical High $8,912.51 | Professional | None | $173.78 | $1,096.48 | $8,912.51 |
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 $131.83 Median $151.36 Typical High $1,174.90 | Professional | 54 · Surgery only | $131.83 | $151.36 | $1,174.90 |
Where West 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.
West Virginia· 46th of 51
$1,288
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.