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 $33.88 Median $4,073.80 Typical High $10,000.00 | Facility | None | $33.88 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $114.82 Typical High $169.82 | Professional | None | $29.51 | $114.82 | $169.82 |
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 $28.18 Median $33.88 Typical High $40.74 | Professional | None | $28.18 | $33.88 | $40.74 |
CareFirst Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $38.90 | Professional | None | $29.51 | $33.11 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $213.80 Typical High $1,659.59 | Facility | None | $95.50 | $213.80 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $97.72 Typical High $177.83 | Professional | None | $26.92 | $97.72 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $177.83 | Professional | None | $114.82 | $138.04 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $234.42 | Professional | None | $186.21 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $229.09 | Facility | None | $33.88 | $56.23 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $177.83 | Professional | None | $144.54 | $173.78 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $29.51 Median $371.54 Typical High $2,454.71 | Facility | None | $29.51 | $371.54 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $302.00 | Professional | None | $125.89 | $158.49 | $302.00 |
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 $22.91 Median $77.62 Typical High $208.93 | Professional | None | $22.91 | $77.62 | $208.93 |
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 $22.39 Median $74.13 Typical High $107.15 | Professional | 54 · Surgery only | $22.39 | $74.13 | $107.15 |
Where Virginia sits
The same service costs 5.1 times more in Iowa 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· 50th of 51
$39.81
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.