How much rates vary
Facilitymedian $1,862 · 10th to 90th $537 to $5,623Professionalmedian $724 · 10th to 90th $501 to $2,570
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 $2,570.40 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,570.40 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $2,570.40 Typical High $3,981.07 | Professional | None (both parts) | $1,174.90 | $2,570.40 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $616.60 Typical High $741.31 | Professional | 26 · Professional part | $338.84 | $616.60 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,621.81 Typical High $1,819.70 | Professional | TC · Technical part | $831.76 | $1,621.81 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,621.81 Typical High $3,019.95 | Facility | None | $562.34 | $1,621.81 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $501.19 | $588.84 | $758.58 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $100.00 Median $933.25 Typical High $1,230.27 | Professional | None (both parts) | $100.00 | $933.25 | $1,230.27 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $933.25 Typical High $1,174.90 | Professional | 26 · Professional part | $933.25 | $933.25 | $1,174.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $112.20 | $112.20 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $3,548.13 | Facility | None | $512.86 | $1,174.90 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,096.48 | $1,318.26 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,890.45 | Facility | None | $2,570.40 | $2,570.40 | $3,890.45 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
Sentara Setting Facility Modifier None Typical Low $602.56 Median $1,737.80 Typical High $5,011.87 | Facility | None | $602.56 | $1,737.80 | $5,011.87 |
Sentara Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,479.11 Typical High $4,570.88 | Professional | None (both parts) | $691.83 | $1,479.11 | $4,570.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $724.44 Typical High $1,318.26 | Professional | 26 · Professional part | $363.08 | $724.44 | $1,318.26 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,288.25 Typical High $3,235.94 | Professional | TC · Technical part | $891.25 | $1,288.25 | $3,235.94 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,659.59 Typical High $2,398.83 | Professional | None (both parts) | $933.25 | $1,659.59 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $831.76 Typical High $1,621.81 | Professional | 26 · Professional part | $194.98 | $831.76 | $1,621.81 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $645.65 Typical High $1,071.52 | Professional | TC · Technical part | $389.05 | $645.65 | $1,071.52 |
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 54 · Surgery only Typical Low $870.96 Median $933.25 Typical High $1,949.84 | Professional | 54 · Surgery only | $870.96 | $933.25 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $186.21 Typical High $389.05 | Professional | 55 · Aftercare only | $173.78 | $186.21 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $125.89 Typical High $257.04 | Professional | 56 · Pre-op care only | $117.49 | $125.89 | $257.04 |
Where Virginia sits
The same service costs 7.1 times more in Wisconsin 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· 40th of 51
$1,072
WI $5,248KY $741
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.