How much rates vary
Facilitymedian $4,571 · 10th to 90th $813 to $13,490Professionalmedian $813 · 10th to 90th $646 to $1,122
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 $5,370.32 Typical High $14,125.38 | Facility | None | $831.76 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $933.25 | Professional | None | $776.25 | $831.76 | $933.25 |
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 $691.83 Median $831.76 Typical High $1,000.00 | Professional | None | $691.83 | $831.76 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,258.93 Typical High $1,513.56 | Professional | 50 · Both sides | $1,047.13 | $1,258.93 | $1,513.56 |
CareFirst Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,071.52 | Professional | None | $741.31 | $831.76 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,737.80 Typical High $3,090.30 | Facility | None | $524.81 | $1,737.80 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,148.15 | Professional | None | $660.69 | $758.58 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,000.00 | Professional | None | $676.08 | $812.83 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | None | $912.01 | $1,122.02 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $1,348.96 | Facility | None | $831.76 | $933.25 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $870.96 | Professional | None | $602.56 | $660.69 | $870.96 |
Sentara Setting Facility Modifier None Typical Low $616.60 Median $2,454.71 Typical High $10,232.93 | Facility | None | $616.60 | $2,454.71 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,778.28 | Professional | None | $616.60 | $831.76 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,318.26 | Professional | None | $512.86 | $660.69 | $1,318.26 |
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 $389.05 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $389.05 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $154.88 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $575.44 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $77.62 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $537.03 | $575.44 | $575.44 |
Where Virginia sits
The same service costs 7.8 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· 37th of 51
$832
AK $3,020TX $389
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.