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 $812.83 Median $4,786.30 Typical High $14,125.38 | Facility | None | $812.83 | $4,786.30 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $812.83 | Professional | None | $741.31 | $758.58 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,413.10 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $891.25 | Professional | None | $616.60 | $741.31 | $891.25 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $812.83 | Professional | None | $630.96 | $707.95 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,548.13 Typical High $7,244.36 | Facility | None | $524.81 | $3,548.13 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $954.99 | Professional | None | $602.56 | $707.95 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,047.13 | Professional | None | $602.56 | $691.83 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | None | $758.58 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $812.83 Typical High $1,202.26 | Facility | None | $741.31 | $812.83 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $758.58 | Professional | None | $562.34 | $602.56 | $758.58 |
Sentara Setting Facility Modifier None Typical Low $537.03 Median $2,137.96 Typical High $10,232.93 | Facility | None | $537.03 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,096.48 | Professional | None | $616.60 | $707.95 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,096.48 | Professional | None | $478.63 | $630.96 | $1,096.48 |
2 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 $562.34 Median $562.34 Typical High $602.56 | Professional | 54 · Surgery only | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $562.34 |
Where Virginia sits
The same service costs 24.0 times more in Alaska than in Texas. 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· 34th of 51
$724
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.