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 $186.21 Median $3,981.07 Typical High $9,332.54 | Facility | None | $186.21 | $3,981.07 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $794.33 Typical High $954.99 | Professional | None | $169.82 | $794.33 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $426.58 Typical High $954.99 | Professional | None | $158.49 | $426.58 | $954.99 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $660.69 Typical High $1,445.44 | Professional | 50 · Both sides | $234.42 | $660.69 | $1,445.44 |
CareFirst Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $1,513.56 | Professional | None | $162.18 | $181.97 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $741.31 Typical High $1,659.59 | Facility | None | $346.74 | $741.31 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $501.19 Typical High $1,148.15 | Professional | None | $162.18 | $501.19 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $891.25 Typical High $1,096.48 | Professional | None | $141.25 | $891.25 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,258.93 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $1,288.25 | Facility | None | $186.21 | $302.00 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Sentara Setting Facility Modifier None Typical Low $169.82 Median $954.99 Typical High $8,709.64 | Facility | None | $169.82 | $954.99 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $4,570.88 | Professional | None | $776.25 | $977.24 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,897.79 Typical High $13,182.57 | Facility | None | $1,230.27 | $4,897.79 | $13,182.57 |
United Setting Professional Modifier None Typical Low $151.36 Median $478.63 Typical High $1,318.26 | Professional | None | $151.36 | $478.63 | $1,318.26 |
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 $128.82 Median $331.13 Typical High $645.65 | Professional | 54 · Surgery only | $128.82 | $331.13 | $645.65 |
Where Virginia sits
The same service costs 4.0 times more in Wisconsin 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· 37th of 51
$708
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.