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 $2,089.30 Median $2,089.30 Typical High $2,187.76 | Facility | None | $2,089.30 | $2,089.30 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,187.76 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $4,168.69 Typical High $6,760.83 | Facility | None | $1,995.26 | $4,168.69 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,778.28 | $2,089.30 | $2,089.30 |
CareFirst Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,862.09 | $1,862.09 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $5,370.32 | Facility | None | $3,019.95 | $3,890.45 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,187.76 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,019.95 | Facility | None | $1,995.26 | $1,995.26 | $3,019.95 |
Sentara Setting Facility Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,691.53 | Facility | None | $2,137.96 | $2,238.72 | $2,691.53 |
Sentara Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,691.53 | Professional | None | $2,137.96 | $2,238.72 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,949.84 | $1,995.26 | $2,089.30 |
4 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 $1,023.29 Median $1,047.13 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,023.29 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | 53 · Discontinued | $416.87 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $316.23 Typical High $323.59 | Professional | 55 · Aftercare only | $309.03 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $218.78 |
Where Virginia sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 28th of 51
$2,089
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.