How much rates vary
Facilitymedian $3,802 · 10th to 90th $468 to $10,000Professionalmedian $437 · 10th to 90th $347 to $617
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 $5,370.32 Typical High $14,125.38 | Facility | None | $436.52 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $588.84 | Professional | None | $416.87 | $436.52 | $588.84 |
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 $371.54 Median $446.68 Typical High $537.03 | Professional | None | $371.54 | $446.68 | $537.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $676.08 Typical High $812.83 | Professional | 50 · Both sides | $562.34 | $676.08 | $812.83 |
CareFirst Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $588.84 | Professional | None | $398.11 | $446.68 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,019.95 Typical High $7,079.46 | Facility | None | $524.81 | $3,019.95 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $645.65 | Professional | None | $371.54 | $407.38 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $562.34 | Professional | None | $371.54 | $446.68 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $831.76 | Professional | None | $457.09 | $562.34 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $457.09 Typical High $724.44 | Facility | None | $436.52 | $457.09 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | None | $363.08 | $363.08 | $446.68 |
Sentara Setting Facility Modifier None Typical Low $338.84 Median $1,479.11 Typical High $8,709.64 | Facility | None | $338.84 | $1,479.11 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $933.25 | Professional | None | $380.19 | $489.78 | $933.25 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $13,489.63 | Facility | None | $1,230.27 | $5,011.87 | $13,489.63 |
United Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $691.83 | Professional | None | $269.15 | $354.81 | $691.83 |
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 $204.17 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $83.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $309.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $309.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $288.40 | $309.03 | $309.03 |
Where Virginia sits
The same service costs 7.2 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
$447
AK $1,622TX $224
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.