How much rates vary
Facilitymedian $2,455 · 10th to 90th $339 to $9,333Professionalmedian $339 · 10th to 90th $269 to $589
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 $398.11 Median $1,096.48 Typical High $8,317.64 | Facility | None | $398.11 | $1,096.48 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $575.44 | Professional | None | $295.12 | $457.09 | $575.44 |
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 $269.15 Median $323.59 Typical High $389.05 | Professional | None | $269.15 | $323.59 | $389.05 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $478.63 Typical High $588.84 | Professional | 50 · Both sides | $407.38 | $478.63 | $588.84 |
CareFirst Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $398.11 | Professional | None | $281.84 | $316.23 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $2,691.53 | Facility | None | $275.42 | $512.86 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $616.60 | Professional | None | $281.84 | $407.38 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $630.96 | Professional | None | $426.58 | $501.19 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $588.84 | Professional | None | $467.74 | $588.84 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $812.83 | Facility | None | $323.59 | $489.78 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $501.19 | Professional | None | $288.40 | $338.84 | $501.19 |
Sentara Setting Facility Modifier None Typical Low $295.12 Median $1,288.25 Typical High $8,709.64 | Facility | None | $295.12 | $1,288.25 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $1,071.52 | Professional | None | $380.19 | $489.78 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,897.79 Typical High $13,182.57 | Facility | None | $1,230.27 | $4,897.79 | $13,182.57 |
United Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $676.08 | Professional | None | $218.78 | $371.54 | $676.08 |
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 $147.91 Median $204.17 Typical High $245.47 | Professional | 52 · Reduced service | $147.91 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $81.28 Typical High $97.72 | Professional | 53 · Discontinued | $58.88 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $309.03 Typical High $371.54 | Professional | 54 · Surgery only | $218.78 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $61.66 Typical High $74.13 | Professional | 55 · Aftercare only | $43.65 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $40.74 Typical High $48.98 | Professional | 56 · Pre-op care only | $29.51 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $288.40 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $204.17 | $288.40 | $346.74 |
Where Virginia sits
The same service costs 4.7 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
$347
AK $1,175UT $251
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.