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 $912.01 Median $912.01 Typical High $1,047.13 | Facility | None | $912.01 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,621.81 | Professional | None | $912.01 | $1,047.13 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $6,760.83 Typical High $12,882.50 | Facility | None | $2,818.38 | $6,760.83 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,380.38 | Professional | None | $891.25 | $1,071.52 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $173.78 Typical High $218.78 | Professional | 80 · Assistant surgeon | $144.54 | $173.78 | $218.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $151.36 Typical High $190.55 | Professional | AS · PA/NP assist | $125.89 | $151.36 | $190.55 |
CareFirst Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,479.11 | $1,659.59 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,495.41 | Facility | None | $501.19 | $1,174.90 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,621.81 | Professional | None | $891.25 | $1,071.52 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,174.90 | Professional | None | $794.33 | $954.99 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,548.82 | $1,949.84 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,047.13 | $1,380.38 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $812.83 Median $1,230.27 Typical High $7,413.10 | Facility | None | $812.83 | $1,230.27 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $2,290.87 | Professional | None | $933.25 | $1,230.27 | $2,290.87 |
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 $776.25 Median $1,174.90 Typical High $1,862.09 | Professional | None | $776.25 | $1,174.90 | $1,862.09 |
2 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 $426.58 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $173.78 | $208.93 | $208.93 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 31st of 51
$1,148
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.