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 $416.87 Median $4,073.80 Typical High $10,000.00 | Facility | None | $416.87 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $2,570.40 | Professional | None | $398.11 | $407.38 | $2,570.40 |
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 $338.84 Median $407.38 Typical High $512.86 | Professional | None | $338.84 | $407.38 | $512.86 |
CareFirst Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $3,467.37 | Professional | None | $354.81 | $398.11 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,659.59 Typical High $3,235.94 | Facility | None | $346.74 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $616.60 | Professional | None | $354.81 | $407.38 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $478.63 | Professional | None | $323.59 | $389.05 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $676.08 | Professional | None | $549.54 | $676.08 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $660.69 | Facility | None | $407.38 | $524.81 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Sentara Setting Facility Modifier None Typical Low $380.19 Median $1,737.80 Typical High $8,709.64 | Facility | None | $380.19 | $1,737.80 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $5,128.61 | Professional | None | $363.08 | $478.63 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $13,182.57 | Facility | None | $1,230.27 | $5,011.87 | $13,182.57 |
United Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $724.44 | Professional | None | $295.12 | $457.09 | $724.44 |
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 $288.40 Median $302.00 Typical High $316.23 | Professional | 54 · Surgery only | $288.40 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $281.84 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $269.15 | $281.84 | $295.12 |
Where Virginia sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 44th of 51
$427
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.