How much rates vary
Facilitymedian $3,981 · 10th to 90th $191 to $10,965Professionalmedian $240 · 10th to 90th $138 to $407
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 $162.18 Median $5,248.07 Typical High $10,000.00 | Facility | None | $162.18 | $5,248.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $323.59 | Professional | None | $144.54 | $251.19 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $7,244.36 | Facility | None | $4,677.35 | $6,456.54 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $354.81 | Professional | None | $141.25 | $229.09 | $354.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $331.13 Typical High $524.81 | Professional | 50 · Both sides | $208.93 | $331.13 | $524.81 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $758.58 | Professional | None | $125.89 | $141.25 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $3,090.30 | Facility | None | $512.86 | $1,659.59 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $407.38 | Professional | None | $144.54 | $223.87 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $338.84 Typical High $416.87 | Professional | None | $123.03 | $338.84 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $263.03 | Professional | None | $186.21 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $524.81 | Facility | None | $162.18 | $269.15 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Sentara Setting Facility Modifier None Typical Low $123.03 Median $933.25 Typical High $10,232.93 | Facility | None | $123.03 | $933.25 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $6,025.60 | Professional | None | $234.42 | $354.81 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,548.82 | $6,760.83 | $17,378.01 |
United Setting Professional Modifier None Typical Low $120.23 Median $234.42 Typical High $457.09 | Professional | None | $120.23 | $234.42 | $457.09 |
5 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 $72.44 Median $85.11 Typical High $162.18 | Professional | 52 · Reduced service | $72.44 | $85.11 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $34.67 Typical High $64.57 | Professional | 53 · Discontinued | $28.84 | $34.67 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $128.82 Typical High $239.88 | Professional | 54 · Surgery only | $107.15 | $128.82 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $25.70 Typical High $47.86 | Professional | 55 · Aftercare only | $21.38 | $25.70 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $16.98 Typical High $32.36 | Professional | 56 · Pre-op care only | $14.45 | $16.98 | $32.36 |
Where Virginia sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 37th of 51
$263
AK $955HI $166
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.