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 $2,398.83 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,398.83 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,290.87 | $3,235.94 |
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 $1,778.28 Median $2,137.96 Typical High $2,691.53 | Professional | None | $1,778.28 | $2,137.96 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $338.84 Typical High $426.58 | Professional | 80 · Assistant surgeon | $281.84 | $338.84 | $426.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $295.12 Typical High $371.54 | Professional | AS · PA/NP assist | $245.47 | $295.12 | $371.54 |
CareFirst Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,995.26 | $2,238.72 | $2,754.23 |
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 $1,778.28 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,778.28 | $2,187.76 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,698.24 | $2,041.74 | $2,511.89 |
Medcost Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,630.78 | Facility | None | $2,238.72 | $2,238.72 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Sentara Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $9,120.11 | Facility | None | $1,412.54 | $2,290.87 | $9,120.11 |
Sentara Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $9,120.11 | Professional | None | $1,862.09 | $2,630.27 | $9,120.11 |
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 $1,819.70 Median $3,090.30 Typical High $4,365.16 | Professional | None | $1,819.70 | $3,090.30 | $4,365.16 |
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 $1,659.59 Median $1,659.59 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,778.28 |
Where Virginia sits
The same service costs 4.7 times more in Alaska than in Arkansas. 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· 40th of 51
$2,239
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.