How much rates vary
Facilitymedian $3,090 · 10th to 90th $550 to $9,550Professionalmedian $513 · 10th to 90th $427 to $759
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 $524.81 Median $4,570.88 Typical High $9,332.54 | Facility | None | $524.81 | $4,570.88 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $851.14 | Professional | None | $489.78 | $524.81 | $851.14 |
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 $446.68 Median $537.03 Typical High $630.96 | Professional | None | $446.68 | $537.03 | $630.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $794.33 Typical High $954.99 | Professional | 50 · Both sides | $660.69 | $794.33 | $954.99 |
CareFirst Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $660.69 | Professional | None | $457.09 | $501.19 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,548.13 | Facility | None | $707.95 | $1,445.44 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $741.31 | Professional | None | $446.68 | $478.63 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $660.69 | Professional | None | $436.52 | $524.81 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $794.33 | Professional | None | $602.56 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $870.96 | Facility | None | $524.81 | $645.65 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $588.84 | Professional | None | $338.84 | $407.38 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $426.58 Median $1,737.80 Typical High $8,709.64 | Facility | None | $426.58 | $1,737.80 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $1,148.15 | Professional | None | $467.74 | $562.34 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $13,182.57 | Facility | None | $1,230.27 | $5,011.87 | $13,182.57 |
United Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $851.14 | Professional | None | $331.13 | $446.68 | $851.14 |
2 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 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $371.54 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $346.74 | $371.54 | $371.54 |
Where Virginia sits
The same service costs 4.4 times more in Colorado than in Montana. 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
CO $6,812MT $1,536
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.