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 $44.67 Median $4,073.80 Typical High $10,000.00 | Facility | None | $44.67 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $85.11 | Professional | None | $40.74 | $72.44 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $95.50 | Professional | None | $38.02 | $66.07 | $95.50 |
CareFirst Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $691.83 | Professional | None | $38.90 | $43.65 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $630.96 | Facility | None | $46.77 | $57.54 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $109.65 | Professional | None | $38.90 | $69.18 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $87.10 Typical High $107.15 | Professional | None | $33.11 | $87.10 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | None | $79.43 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $117.49 | Facility | None | $44.67 | $72.44 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Sentara Setting Facility Modifier None Typical Low $37.15 Median $616.60 Typical High $2,951.21 | Facility | None | $37.15 | $616.60 | $2,951.21 |
Sentara Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $1,737.80 | Professional | None | $66.07 | $85.11 | $1,737.80 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,041.74 | Facility | None | $100.00 | $660.69 | $2,041.74 |
United Setting Professional Modifier None Typical Low $34.67 Median $64.57 Typical High $120.23 | Professional | None | $34.67 | $64.57 | $120.23 |
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 $30.90 Median $38.90 Typical High $61.66 | Professional | 54 · Surgery only | $30.90 | $38.90 | $61.66 |
Where Virginia sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 36th of 51
$70.79
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.