How much rates vary
Facilitymedian $1,413 · 10th to 90th $380 to $5,888Professionalmedian $437 · 10th to 90th $347 to $724
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 $549.54 Median $5,495.41 Typical High $10,964.78 | Facility | None | $549.54 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $676.08 | Professional | None | $371.54 | $549.54 | $676.08 |
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 $346.74 Median $416.87 Typical High $501.19 | Professional | None | $346.74 | $416.87 | $501.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $616.60 Typical High $741.31 | Professional | 50 · Both sides | $512.86 | $616.60 | $741.31 |
CareFirst Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $524.81 | Professional | None | $363.08 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $2,511.89 | Facility | None | $645.65 | $954.99 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $741.31 | Professional | None | $363.08 | $501.19 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $758.58 | Professional | None | $501.19 | $602.56 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | None | $602.56 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $977.24 | Facility | None | $416.87 | $602.56 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $630.96 | Professional | None | $457.09 | $478.63 | $630.96 |
Sentara Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $3,467.37 | Facility | None | $371.54 | $724.44 | $3,467.37 |
Sentara Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $1,258.93 | Professional | None | $446.68 | $616.60 | $1,258.93 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $3,630.78 | Facility | None | $323.59 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $851.14 | Professional | None | $288.40 | $467.74 | $851.14 |
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 $186.21 Median $245.47 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $371.54 Typical High $457.09 | Professional | 54 · Surgery only | $281.84 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $74.13 Typical High $91.20 | Professional | 55 · Aftercare only | $56.23 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $48.98 Typical High $60.26 | Professional | 56 · Pre-op care only | $37.15 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $346.74 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $263.03 | $346.74 | $426.58 |
Where Virginia sits
The same service costs 4.8 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· 45th of 51
$447
AK $1,549UT $324
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.