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 $109.65 Median $151.36 Typical High $234.42 | Facility | None | $109.65 | $151.36 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $194.98 | Professional | None | $100.00 | $114.82 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $3,801.89 | Facility | None | $2,754.23 | $3,467.37 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $158.49 | Professional | None | $100.00 | $125.89 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $154.88 | Professional | None | $117.49 | $123.03 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $5,888.44 Typical High $12,589.25 | Facility | None | $3,715.35 | $5,888.44 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $165.96 | Professional | None | $91.20 | $104.71 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $194.98 | Professional | None | $128.82 | $147.91 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $162.18 | Professional | None | $112.20 | $138.04 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $223.87 | Facility | None | $154.88 | $165.96 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None | $89.13 | $89.13 | $128.82 |
Sentara Setting Facility Modifier None Typical Low $87.10 Median $158.49 Typical High $10,232.93 | Facility | None | $87.10 | $158.49 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $181.97 | Professional | None | $117.49 | $128.82 | $181.97 |
United Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $181.97 | Professional | None | $81.28 | $104.71 | $181.97 |
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 $50.12 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $18.20 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $12.02 |
Where Virginia sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 33rd of 51
$120
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.