How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,412.54 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,412.54 | $1,412.54 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $204.17 | Professional | None | $138.04 | $144.54 | $204.17 |
CareSource Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $223.87 Typical High $457.09 | Facility | None | $34.67 | $223.87 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $549.54 | Professional | None | $165.96 | $269.15 | $549.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $1,174.90 | Facility | None | $371.54 | $616.60 | $1,174.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $323.59 | Professional | None | $194.98 | $199.53 | $323.59 |
United Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $851.14 | Facility | None | $100.00 | $131.83 | $851.14 |
United Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $380.19 | Professional | None | $107.15 | $181.97 | $380.19 |
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 $102.33 Median $125.89 Typical High $151.36 | Professional | 54 · Surgery only | $102.33 | $125.89 | $151.36 |
Where West 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.
West Virginia· 42nd of 51
$200
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.