How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,230.27 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,230.27 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $707.95 | Professional | None | $151.36 | $186.21 | $707.95 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $257.04 Typical High $1,737.80 | Facility | None | $34.67 | $257.04 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $707.95 Typical High $4,168.69 | Professional | None | $204.17 | $707.95 | $4,168.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $5,888.44 | Facility | None | $1,202.26 | $1,479.11 | $5,888.44 |
United Setting Professional Modifier None Typical Low $154.88 Median $467.74 Typical High $1,819.70 | Professional | None | $154.88 | $467.74 | $1,819.70 |
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 $114.82 Median $138.04 Typical High $537.03 | Professional | 54 · Surgery only | $114.82 | $138.04 | $537.03 |
Where West 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.
West Virginia· 47th of 51
$575
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.