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 $1,000.00 Median $5,495.41 Typical High $14,125.38 | Facility | None | $1,000.00 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $1,380.38 | Professional | None | $954.99 | $977.24 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $13,803.84 Typical High $15,848.93 | Facility | None | $10,964.78 | $13,803.84 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,148.15 | Professional | None | $758.58 | $891.25 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $144.54 Typical High $181.97 | Professional | 80 · Assistant surgeon | $120.23 | $144.54 | $181.97 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $125.89 Typical High $158.49 | Professional | AS · PA/NP assist | $104.71 | $125.89 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,174.90 | Professional | None | $851.14 | $954.99 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $5,495.41 | Facility | None | $501.19 | $794.33 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,548.82 | Professional | None | $758.58 | $933.25 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,071.52 | Professional | None | $724.44 | $851.14 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,548.82 | Facility | None | $954.99 | $954.99 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Sentara Setting Facility Modifier None Typical Low $870.96 Median $1,737.80 Typical High $5,495.41 | Facility | None | $870.96 | $1,737.80 | $5,495.41 |
Sentara Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $5,128.61 | Professional | None | $870.96 | $1,230.27 | $5,128.61 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,949.84 | Professional | None | $776.25 | $1,380.38 | $1,949.84 |
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 $707.95 Median $707.95 Typical High $758.58 | Professional | 54 · Surgery only | $707.95 | $707.95 | $758.58 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in New York. 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· 44th of 51
$977
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.