How much rates vary
Facilitymedian $2,138 · 10th to 90th $589 to $6,918Professionalmedian $724 · 10th to 90th $589 to $1,000
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 $724.44 Median $4,073.80 Typical High $9,332.54 | Facility | None | $724.44 | $4,073.80 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,412.54 | Professional | None | $630.96 | $707.95 | $1,412.54 |
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 $588.84 Median $741.31 Typical High $933.25 | Professional | None | $588.84 | $741.31 | $933.25 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $794.33 | Professional | None | $602.56 | $676.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,174.90 Typical High $2,187.76 | Facility | None | $478.63 | $1,174.90 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $977.24 | Professional | None | $602.56 | $676.08 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,071.52 | Professional | None | $691.83 | $891.25 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | None | $933.25 | $933.25 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,288.25 | Facility | None | $707.95 | $831.76 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Sentara Setting Facility Modifier None Typical Low $549.54 Median $1,737.80 Typical High $8,709.64 | Facility | None | $549.54 | $1,737.80 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $5,128.61 | Professional | None | $616.60 | $851.14 | $5,128.61 |
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 $512.86 Median $707.95 Typical High $1,230.27 | Professional | None | $512.86 | $707.95 | $1,230.27 |
1 more rate 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 78 · Unplanned return to OR Typical Low $426.58 Median $501.19 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $501.19 | $549.54 |
Where Virginia sits
The same service costs 4.0 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $5,661DE $1,425
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.