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 $158.49 Median $1,819.70 Typical High $8,317.64 | Facility | None | $158.49 | $1,819.70 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $346.74 | Professional | None | $125.89 | $194.98 | $346.74 |
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 $144.54 Median $208.93 Typical High $302.00 | Professional | None | $144.54 | $208.93 | $302.00 |
CareFirst Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Professional | None | $147.91 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $1,659.59 | Facility | None | $169.82 | $323.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $338.84 | Professional | None | $141.25 | $218.78 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $323.59 | Professional | None | $177.83 | $269.15 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None | $223.87 | $275.42 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $380.19 | Facility | None | $147.91 | $218.78 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | None | $204.17 | $204.17 | $218.78 |
Sentara Setting Facility Modifier None Typical Low $112.20 Median $371.54 Typical High $2,454.71 | Facility | None | $112.20 | $371.54 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $870.96 | Professional | None | $169.82 | $257.04 | $870.96 |
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 $123.03 Median $208.93 Typical High $371.54 | Professional | None | $123.03 | $208.93 | $371.54 |
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 $93.33 Median $141.25 Typical High $173.78 | Professional | 54 · Surgery only | $93.33 | $141.25 | $173.78 |
Where Virginia sits
The same service costs 4.2 times more in Alaska 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· 34th of 51
$214
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.