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 $134.90 Median $3,801.89 Typical High $9,332.54 | Facility | None | $134.90 | $3,801.89 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $186.21 | Professional | None | $117.49 | $134.90 | $186.21 |
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 $107.15 Median $128.82 Typical High $154.88 | Professional | None | $107.15 | $128.82 | $154.88 |
CareFirst Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $151.36 | Professional | None | $114.82 | $128.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $794.33 | Facility | None | $50.12 | $107.15 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $186.21 | Professional | None | $93.33 | $125.89 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $204.17 | Professional | None | $131.83 | $158.49 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | None | $151.36 | $190.55 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $218.78 | Facility | None | $117.49 | $134.90 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $131.83 | Professional | None | $45.71 | $60.26 | $131.83 |
Sentara Setting Facility Modifier None Typical Low $93.33 Median $371.54 Typical High $2,454.71 | Facility | None | $93.33 | $371.54 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $302.00 | Professional | None | $109.65 | $134.90 | $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 $75.86 Median $109.65 Typical High $208.93 | Professional | None | $75.86 | $109.65 | $208.93 |
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 54 · Surgery only Typical Low $87.10 Median $93.33 Typical High $102.33 | Professional | 54 · Surgery only | $87.10 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $89.13 Typical High $95.50 | Professional | 78 · Unplanned return to OR | $81.28 | $89.13 | $95.50 |
Where Virginia sits
The same service costs 4.5 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· 37th of 51
$129
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.