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 $257.04 Median $4,365.16 Typical High $10,000.00 | Facility | None | $257.04 | $4,365.16 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $2,041.74 Typical High $2,818.38 | Professional | None | $234.42 | $2,041.74 | $2,818.38 |
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 $218.78 Median $776.25 Typical High $3,019.95 | Professional | None | $218.78 | $776.25 | $3,019.95 |
CareFirst Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $758.58 | Professional | None | $229.09 | $257.04 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,202.26 Typical High $3,019.95 | Facility | None | $707.95 | $1,202.26 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $1,445.44 Typical High $3,467.37 | Professional | None | $223.87 | $1,445.44 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $2,818.38 Typical High $3,467.37 | Professional | None | $194.98 | $2,818.38 | $3,467.37 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,630.27 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $3,388.44 | Facility | None | $257.04 | $416.87 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Sentara Setting Facility Modifier None Typical Low $223.87 Median $1,071.52 Typical High $3,715.35 | Facility | None | $223.87 | $1,071.52 | $3,715.35 |
Sentara Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $5,888.44 | Professional | None | $1,621.81 | $2,454.71 | $5,888.44 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $5,888.44 | Facility | None | $588.84 | $2,187.76 | $5,888.44 |
United Setting Professional Modifier None Typical Low $208.93 Median $660.69 Typical High $3,630.78 | Professional | None | $208.93 | $660.69 | $3,630.78 |
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 $177.83 Median $457.09 Typical High $2,089.30 | Professional | 54 · Surgery only | $177.83 | $457.09 | $2,089.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $426.58 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $165.96 | $426.58 | $1,949.84 |
Where Virginia sits
The same service costs 7.1 times more in Oregon 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· 15th of 51
$1,778
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.