How much rates vary
Facilitymedian $5,495 · 10th to 90th $741 to $15,488Professionalmedian $741 · 10th to 90th $589 to $1,047
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 $758.58 Median $7,079.46 Typical High $14,125.38 | Facility | None | $758.58 | $7,079.46 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,023.29 | Professional | None | $691.83 | $758.58 | $1,023.29 |
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 $630.96 Median $758.58 Typical High $912.01 | Professional | None | $630.96 | $758.58 | $912.01 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,122.02 Typical High $1,348.96 | Professional | 50 · Both sides | $954.99 | $1,122.02 | $1,348.96 |
CareFirst Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $933.25 | Professional | None | $707.95 | $776.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,737.80 Typical High $3,162.28 | Facility | None | $512.86 | $1,737.80 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,023.29 | Professional | None | $602.56 | $676.08 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $891.25 | Professional | None | $602.56 | $724.44 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,071.52 | Professional | None | $851.14 | $1,071.52 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,230.27 | Facility | None | $758.58 | $870.96 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,819.70 | Professional | None | $457.09 | $812.83 | $1,819.70 |
Sentara Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $10,715.19 | Facility | None | $575.44 | $2,137.96 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,584.89 | Professional | None | $588.84 | $776.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $1,202.26 | Professional | None | $467.74 | $602.56 | $1,202.26 |
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 $346.74 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $346.74 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $524.81 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $524.81 |
Where Virginia sits
The same service costs 16.6 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· 35th of 51
$759
AK $2,754TX $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.