How much rates vary
Facilitymedian $2,138 · 10th to 90th $646 to $6,026Professionalmedian $871 · 10th to 90th $692 to $1,230
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 $831.76 Median $5,248.07 Typical High $10,000.00 | Facility | None | $831.76 | $5,248.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,071.52 | Professional | None | $741.31 | $851.14 | $1,071.52 |
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 $691.83 Median $891.25 Typical High $1,174.90 | Professional | None | $691.83 | $891.25 | $1,174.90 |
CareFirst Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $891.25 | Professional | None | $691.83 | $758.58 | $891.25 |
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 $691.83 Median $870.96 Typical High $1,230.27 | Professional | None | $691.83 | $870.96 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,380.38 | Professional | None | $891.25 | $1,174.90 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,023.29 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,659.59 | Facility | None | $831.76 | $1,023.29 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Sentara Setting Facility Modifier None Typical Low $616.60 Median $1,174.90 Typical High $5,011.87 | Facility | None | $616.60 | $1,174.90 | $5,011.87 |
Sentara Setting Professional Modifier None Typical Low $724.44 Median $1,122.02 Typical High $3,388.44 | Professional | None | $724.44 | $1,122.02 | $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 $602.56 Median $870.96 Typical High $1,479.11 | Professional | None | $602.56 | $870.96 | $1,479.11 |
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 $371.54 Median $407.38 Typical High $512.86 | Professional | 52 · Reduced service | $371.54 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $165.96 Typical High $204.17 | Professional | 53 · Discontinued | $147.91 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $616.60 Typical High $758.58 | Professional | 54 · Surgery only | $562.34 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $123.03 Typical High $151.36 | Professional | 55 · Aftercare only | $112.20 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $83.18 Typical High $102.33 | Professional | 56 · Pre-op care only | $74.13 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $575.44 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $524.81 | $575.44 | $707.95 |
Where Virginia sits
The same service costs 3.7 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 $6,113DE $1,645
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.