How much rates vary
Facilitymedian $1,862 · 10th to 90th $708 to $5,888Professionalmedian $933 · 10th to 90th $724 to $1,349
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 $1,047.13 Median $2,089.30 Typical High $8,317.64 | Facility | None | $1,047.13 | $2,089.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,621.81 | Professional | None | $776.25 | $954.99 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,202.26 | Professional | None | $724.44 | $912.01 | $1,202.26 |
CareFirst Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $933.25 | Professional | None | $724.44 | $794.33 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,258.93 Typical High $2,570.40 | Facility | None | $524.81 | $1,258.93 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,288.25 | Professional | None | $724.44 | $912.01 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,318.26 | Professional | None | $831.76 | $1,096.48 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,698.24 | Facility | None | $870.96 | $1,047.13 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Sentara Setting Facility Modifier None Typical Low $741.31 Median $1,258.93 Typical High $3,981.07 | Facility | None | $741.31 | $1,258.93 | $3,981.07 |
Sentara Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $3,467.37 | Professional | None | $891.25 | $1,148.15 | $3,467.37 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $5,888.44 | Facility | None | $588.84 | $2,187.76 | $5,888.44 |
United Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,548.82 | Professional | None | $645.65 | $912.01 | $1,548.82 |
6 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 $380.19 Median $436.52 Typical High $524.81 | Professional | 52 · Reduced service | $380.19 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $154.88 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $575.44 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $131.83 Typical High $158.49 | Professional | 55 · Aftercare only | $114.82 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $87.10 Typical High $104.71 | Professional | 56 · Pre-op care only | $77.62 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $537.03 | $616.60 | $724.44 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 34th of 51
$955
AK $3,090TX $708
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.