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 $338.84 Median $5,248.07 Typical High $10,000.00 | Facility | None | $338.84 | $5,248.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $1,230.27 Typical High $2,691.53 | Professional | None | $316.23 | $1,230.27 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $7,244.36 | Facility | None | $4,677.35 | $6,456.54 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $707.95 Typical High $1,230.27 | Professional | None | $269.15 | $707.95 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $933.25 Typical High $1,862.09 | Professional | 50 · Both sides | $398.11 | $933.25 | $1,862.09 |
CareFirst Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $3,715.35 | Professional | None | $251.19 | $275.42 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,288.25 | $1,862.09 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $776.25 Typical High $2,398.83 | Professional | None | $269.15 | $776.25 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $1,148.15 Typical High $1,412.54 | Professional | None | $234.42 | $1,148.15 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,398.83 | $3,019.95 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $2,041.74 | Facility | None | $316.23 | $512.86 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Sentara Setting Facility Modifier None Typical Low $295.12 Median $1,737.80 Typical High $10,232.93 | Facility | None | $295.12 | $1,737.80 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $8,511.38 | Professional | None | $1,174.90 | $1,905.46 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None Typical Low $295.12 Median $812.83 Typical High $2,511.89 | Professional | None | $295.12 | $812.83 | $2,511.89 |
3 more rates 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 $234.42 Median $457.09 Typical High $977.24 | Professional | 54 · Surgery only | $234.42 | $457.09 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $91.20 Typical High $194.98 | Professional | 55 · Aftercare only | $46.77 | $91.20 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $61.66 Typical High $131.83 | Professional | 56 · Pre-op care only | $31.62 | $61.66 | $131.83 |
Where Virginia sits
The same service costs 4.8 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· 45th of 51
$1,000
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.