How much rates vary
Facilitymedian $5,248 · 10th to 90th $631 to $15,488Professionalmedian $603 · 10th to 90th $479 to $832
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 $1,230.27 Median $5,623.41 Typical High $15,488.17 | Facility | None | $1,230.27 | $5,623.41 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $831.76 | Professional | None | $575.44 | $602.56 | $831.76 |
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 $512.86 Median $616.60 Typical High $741.31 | Professional | None | $512.86 | $616.60 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $933.25 Typical High $1,122.02 | Professional | 50 · Both sides | $776.25 | $933.25 | $1,122.02 |
CareFirst Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $812.83 | Professional | None | $549.54 | $616.60 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,698.24 Typical High $3,090.30 | Facility | None | $524.81 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $831.76 | Professional | None | $512.86 | $562.34 | $831.76 |
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 $676.08 Median $851.14 Typical High $851.14 | Professional | None | $676.08 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $977.24 | Facility | None | $602.56 | $645.65 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $616.60 | Professional | None | $446.68 | $512.86 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $478.63 Median $2,454.71 Typical High $10,715.19 | Facility | None | $478.63 | $2,454.71 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $1,318.26 | Professional | None | $524.81 | $630.96 | $1,318.26 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $977.24 | Professional | None | $371.54 | $478.63 | $977.24 |
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 $288.40 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $426.58 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $87.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $398.11 | $416.87 | $416.87 |
Where Virginia sits
The same service costs 7.9 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· 38th of 51
$603
AK $2,239TX $282
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.