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 $52.48 Median $3,981.07 Typical High $10,000.00 | Facility | None | $52.48 | $3,981.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $2,570.40 | Professional | None | $39.81 | $52.48 | $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 $44.67 Median $53.70 Typical High $67.61 | Professional | None | $44.67 | $53.70 | $67.61 |
CareFirst Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $2,454.71 | Professional | None | $47.86 | $52.48 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,659.59 Typical High $3,311.31 | Facility | None | $346.74 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $63.10 | Professional | None | $42.66 | $51.29 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | None | $66.07 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $85.11 | Facility | None | $52.48 | $66.07 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Sentara Setting Facility Modifier None Typical Low $48.98 Median $1,023.29 Typical High $8,709.64 | Facility | None | $48.98 | $1,023.29 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $5,128.61 | Professional | None | $46.77 | $61.66 | $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 $38.90 Median $61.66 Typical High $93.33 | Professional | None | $38.90 | $61.66 | $93.33 |
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 $30.20 Median $39.81 Typical High $39.81 | Professional | 54 · Surgery only | $30.20 | $39.81 | $39.81 |
Where Virginia sits
The same service costs 20.9 times more in Oklahoma 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· 49th of 51
$56.23
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.