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 $43.65 Median $812.83 Typical High $8,317.64 | Facility | None | $43.65 | $812.83 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $134.90 Typical High $218.78 | Professional | None | $34.67 | $134.90 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,737.80 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $125.89 Typical High $177.83 | Professional | None | $30.20 | $125.89 | $177.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.90 Median $21.38 Typical High $28.84 | Professional | 80 · Assistant surgeon | $4.90 | $21.38 | $28.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $3.98 Median $17.78 Typical High $27.54 | Professional | AS · PA/NP assist | $3.98 | $17.78 | $27.54 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $46.77 | Professional | None | $30.20 | $33.88 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $234.42 | Professional | None | $30.20 | $70.79 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $190.55 | Professional | None | $128.82 | $151.36 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | None | $199.53 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $288.40 | Facility | None | $46.77 | $57.54 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $251.19 | Professional | None | $128.82 | $208.93 | $251.19 |
Sentara Setting Facility Modifier None Typical Low $26.92 Median $58.88 Typical High $10,232.93 | Facility | None | $26.92 | $58.88 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $389.05 | Professional | None | $154.88 | $194.98 | $389.05 |
United Setting Facility Modifier None Typical Low $204.17 Median $1,023.29 Typical High $2,398.83 | Facility | None | $204.17 | $1,023.29 | $2,398.83 |
United Setting Professional Modifier None Typical Low $26.92 Median $112.20 Typical High $275.42 | Professional | None | $26.92 | $112.20 | $275.42 |
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 $25.70 Median $45.71 Typical High $131.83 | Professional | 54 · Surgery only | $25.70 | $45.71 | $131.83 |
Where Virginia sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 33rd of 51
$129
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.