How much rates vary
Facilitymedian $1,622 · 10th to 90th $398 to $5,754Professionalmedian $372 · 10th to 90th $295 to $646
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 $436.52 Median $2,570.40 Typical High $8,317.64 | Facility | None | $436.52 | $2,570.40 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $707.95 | Professional | None | $316.23 | $478.63 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | None | $295.12 | $346.74 | $426.58 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $524.81 Typical High $630.96 | Professional | 50 · Both sides | $436.52 | $524.81 | $630.96 |
CareFirst Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $446.68 | Professional | None | $309.03 | $346.74 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $870.96 Typical High $2,187.76 | Facility | None | $478.63 | $870.96 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $660.69 | Professional | None | $309.03 | $446.68 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $676.08 | Professional | None | $446.68 | $537.03 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $660.69 | Professional | None | $524.81 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $870.96 | Facility | None | $354.81 | $524.81 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $371.54 Typical High $549.54 | Professional | None | $173.78 | $371.54 | $549.54 |
Sentara Setting Facility Modifier None Typical Low $316.23 Median $1,071.52 Typical High $3,630.78 | Facility | None | $316.23 | $1,071.52 | $3,630.78 |
Sentara Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $1,148.15 | Professional | None | $389.05 | $537.03 | $1,148.15 |
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 $239.88 Median $407.38 Typical High $741.31 | Professional | None | $239.88 | $407.38 | $741.31 |
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 $158.49 Median $218.78 Typical High $263.03 | Professional | 52 · Reduced service | $158.49 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $87.10 Typical High $107.15 | Professional | 53 · Discontinued | $63.10 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $323.59 Typical High $398.11 | Professional | 54 · Surgery only | $239.88 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $64.57 Typical High $79.43 | Professional | 55 · Aftercare only | $47.86 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $43.65 Typical High $52.48 | Professional | 56 · Pre-op care only | $31.62 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $302.00 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $223.87 | $302.00 | $371.54 |
Where Virginia sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 46th of 51
$380
AK $1,413UT $288
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.