How much rates vary
Facilitymedian $4,365 · 10th to 90th $617 to $12,882Professionalmedian $562 · 10th to 90th $447 to $977
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 $1,548.82 Median $5,623.41 Typical High $14,125.38 | Facility | None | $1,548.82 | $5,623.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $5,495.41 | Professional | None | $537.03 | $616.60 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $8,317.64 Typical High $11,481.54 | Facility | None | $5,754.40 | $8,317.64 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $676.08 | Professional | None | $446.68 | $537.03 | $676.08 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $5,128.61 | Professional | None | $467.74 | $524.81 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,344.23 Typical High $4,365.16 | Facility | None | $645.65 | $2,344.23 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $851.14 | Professional | None | $467.74 | $575.44 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $676.08 | Professional | None | $457.09 | $549.54 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $794.33 | Professional | None | $645.65 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $645.65 Typical High $891.25 | Facility | None | $537.03 | $645.65 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $426.58 Median $1,778.28 Typical High $10,232.93 | Facility | None | $426.58 | $1,778.28 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $8,511.38 | Professional | None | $436.52 | $645.65 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,548.82 | $6,760.83 | $17,378.01 |
United Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $977.24 | Professional | None | $426.58 | $645.65 | $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 $269.15 Median $269.15 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $457.09 | Professional | 54 · Surgery only | $407.38 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $426.58 |
Where Virginia sits
The same service costs 5.4 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· 48th of 51
$617
AK $2,630TX $490
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.