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 $524.81 Median $4,073.80 Typical High $10,000.00 | Facility | None | $524.81 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $1,230.27 | Professional | None | $489.78 | $512.86 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,413.10 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $660.69 | Professional | None | $426.58 | $512.86 | $660.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | 80 · Assistant surgeon | $69.18 | $81.28 | $104.71 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $72.44 Typical High $91.20 | Professional | AS · PA/NP assist | $60.26 | $72.44 | $91.20 |
CareFirst Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $758.58 | Professional | None | $446.68 | $501.19 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $5,128.61 | Facility | None | $1,230.27 | $2,630.27 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $776.25 | Professional | None | $457.09 | $512.86 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $562.34 | Professional | None | $380.19 | $436.52 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $707.95 | Professional | None | $562.34 | $707.95 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $831.76 | Facility | None | $512.86 | $645.65 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $588.84 | Professional | None | $436.52 | $588.84 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $407.38 Median $1,737.80 Typical High $10,232.93 | Facility | None | $407.38 | $1,737.80 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $2,041.74 | Professional | None | $457.09 | $588.84 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,548.82 | $6,760.83 | $17,378.01 |
United Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $912.01 | Professional | None | $371.54 | $575.44 | $912.01 |
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 $363.08 Median $380.19 Typical High $398.11 | Professional | 54 · Surgery only | $363.08 | $380.19 | $398.11 |
Where Virginia sits
The same service costs 4.3 times more in Alaska than in New York. 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· 41st of 51
$537
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.