How much rates vary
Facilitymedian $1,950 · 10th to 90th $631 to $5,754Professionalmedian $813 · 10th to 90th $661 to $1,148
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 $4,365.16 Typical High $14,125.38 | Facility | None | $831.76 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $933.25 | Professional | None | $758.58 | $831.76 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $977.24 | Professional | None | $691.83 | $812.83 | $977.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,230.27 Typical High $1,479.11 | Professional | 50 · Both sides | $1,023.29 | $1,230.27 | $1,479.11 |
CareFirst Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,000.00 | Professional | None | $758.58 | $851.14 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $2,691.53 | Facility | None | $512.86 | $1,096.48 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,174.90 | Professional | None | $707.95 | $741.31 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,000.00 | Professional | None | $660.69 | $794.33 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,288.25 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,380.38 | Facility | None | $831.76 | $1,023.29 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,096.48 | Professional | None | $954.99 | $1,023.29 | $1,096.48 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $3,801.89 | Facility | None | $512.86 | $1,096.48 | $3,801.89 |
Sentara Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,737.80 | Professional | None | $724.44 | $912.01 | $1,737.80 |
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 $524.81 Median $707.95 Typical High $1,348.96 | Professional | None | $524.81 | $707.95 | $1,348.96 |
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 $380.19 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $380.19 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $151.36 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $562.34 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $75.86 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $524.81 | $588.84 | $588.84 |
Where Virginia sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.