How much rates vary
Facilitymedian $1,862 · 10th to 90th $209 to $6,166Professionalmedian $288 · 10th to 90th $158 to $457
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 $331.13 Median $4,786.30 Typical High $10,000.00 | Facility | None | $331.13 | $4,786.30 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $389.05 | Professional | None | $177.83 | $331.13 | $389.05 |
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 $158.49 Median $281.84 Typical High $407.38 | Professional | None | $158.49 | $281.84 | $407.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $407.38 Typical High $616.60 | Professional | 50 · Both sides | $234.42 | $407.38 | $616.60 |
CareFirst Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $1,659.59 | Professional | None | $147.91 | $165.96 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $870.96 Typical High $1,659.59 | Facility | None | $346.74 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $302.00 Typical High $467.74 | Professional | None | $162.18 | $302.00 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $363.08 Typical High $446.68 | Professional | None | $134.90 | $363.08 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | None | $371.54 | $467.74 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $295.12 Typical High $537.03 | Facility | None | $177.83 | $295.12 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $165.96 Median $912.01 Typical High $3,630.78 | Facility | None | $165.96 | $912.01 | $3,630.78 |
Sentara Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $2,137.96 | Professional | None | $245.47 | $380.19 | $2,137.96 |
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 $138.04 Median $269.15 Typical High $524.81 | Professional | None | $138.04 | $269.15 | $524.81 |
5 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 $89.13 Median $120.23 Typical High $194.98 | Professional | 52 · Reduced service | $89.13 | $120.23 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $47.86 Typical High $77.62 | Professional | 53 · Discontinued | $35.48 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $181.97 Typical High $288.40 | Professional | 54 · Surgery only | $134.90 | $181.97 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $36.31 Typical High $57.54 | Professional | 55 · Aftercare only | $26.92 | $36.31 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $23.99 Typical High $38.90 | Professional | 56 · Pre-op care only | $17.78 | $23.99 | $38.90 |
Where Virginia sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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
$302
AK $933KY $240
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.