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 $38.90 Median $3,981.07 Typical High $10,000.00 | Facility | None | $38.90 | $3,981.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $75.86 | Professional | None | $32.36 | $50.12 | $75.86 |
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 $30.90 Median $37.15 Typical High $44.67 | Professional | None | $30.90 | $37.15 | $44.67 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 50 · Both sides | $46.77 | $54.95 | $67.61 |
CareFirst Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $44.67 | Professional | None | $33.88 | $38.02 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $707.95 | Facility | None | $23.44 | $45.71 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $70.79 | Professional | None | $31.62 | $46.77 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | None | $48.98 | $58.88 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | None | $67.61 | $85.11 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $54.95 Typical High $87.10 | Facility | None | $38.90 | $54.95 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | None | $39.81 | $39.81 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $36.31 Median $371.54 Typical High $2,454.71 | Facility | None | $36.31 | $371.54 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $117.49 | Professional | None | $47.86 | $60.26 | $117.49 |
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 $25.12 Median $42.66 Typical High $81.28 | Professional | None | $25.12 | $42.66 | $81.28 |
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 $24.55 Median $33.88 Typical High $39.81 | Professional | 54 · Surgery only | $24.55 | $33.88 | $39.81 |
Where Virginia sits
The same service costs 3.3 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· 49th of 51
$41.69
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.