How much rates vary
Facilitymedian $1,698 · 10th to 90th $676 to $5,754Professionalmedian $776 · 10th to 90th $631 to $1,148
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 $794.33 Median $1,258.93 Typical High $8,317.64 | Facility | None | $794.33 | $1,258.93 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,348.96 | Professional | None | $660.69 | $794.33 | $1,348.96 |
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 $616.60 Median $776.25 Typical High $1,023.29 | Professional | None | $616.60 | $776.25 | $1,023.29 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $831.76 | Professional | None | $630.96 | $691.83 | $831.76 |
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 $645.65 Median $758.58 Typical High $1,071.52 | Professional | None | $645.65 | $758.58 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,096.48 | Professional | None | $691.83 | $912.01 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,096.48 | Professional | None | $954.99 | $954.99 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,412.54 | Facility | None | $758.58 | $891.25 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Sentara Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $3,630.78 | Facility | None | $602.56 | $1,096.48 | $3,630.78 |
Sentara Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $3,388.44 | Professional | None | $724.44 | $933.25 | $3,388.44 |
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 $549.54 Median $758.58 Typical High $1,258.93 | Professional | None | $549.54 | $758.58 | $1,258.93 |
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 $331.13 Median $380.19 Typical High $436.52 | Professional | 52 · Reduced service | $331.13 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $173.78 | Professional | 53 · Discontinued | $131.83 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $562.34 Typical High $645.65 | Professional | 54 · Surgery only | $489.78 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $112.20 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $75.86 Typical High $87.10 | Professional | 56 · Pre-op care only | $66.07 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $524.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $457.09 | $524.81 | $602.56 |
Where Virginia sits
The same service costs 4.6 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
$794
AK $2,692TX $589
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.