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 $707.95 Median $776.25 Typical High $1,023.29 | Facility | None | $707.95 | $776.25 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,479.11 | Professional | None | $707.95 | $912.01 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,380.38 | Professional | None | $776.25 | $1,023.29 | $1,380.38 |
CareFirst Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $223.87 | Professional | None | $154.88 | $169.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $2,691.53 | Facility | None | $501.19 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,513.56 | Professional | None | $758.58 | $977.24 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $1,479.11 | Professional | None | $676.08 | $1,202.26 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $707.95 Median $912.01 Typical High $1,513.56 | Facility | None | $707.95 | $912.01 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Sentara Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $10,232.93 | Facility | None | $380.19 | $912.01 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $630.96 Median $1,096.48 Typical High $2,398.83 | Professional | None | $630.96 | $1,096.48 | $2,398.83 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $1,479.11 | Professional | None | $524.81 | $870.96 | $1,479.11 |
3 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 52 · Reduced service Typical Low $354.81 Median $398.11 Typical High $512.86 | Professional | 52 · Reduced service | $354.81 | $398.11 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $120.23 Typical High $154.88 | Professional | 55 · Aftercare only | $104.71 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $81.28 Typical High $102.33 | Professional | 56 · Pre-op care only | $70.79 | $81.28 | $102.33 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 28th of 51
$1,000
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.