How much rates vary
Facilitymedian $2,042 · 10th to 90th $501 to $5,754Professionalmedian $490 · 10th to 90th $407 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 $562.34 Median $4,073.80 Typical High $10,000.00 | Facility | None | $562.34 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $562.34 | Professional | None | $512.86 | $524.81 | $562.34 |
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 $416.87 Median $501.19 Typical High $602.56 | Professional | None | $416.87 | $501.19 | $602.56 |
CareFirst Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $575.44 | Professional | None | $436.52 | $489.78 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,479.11 Typical High $2,818.38 | Facility | None | $346.74 | $1,479.11 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $660.69 | Professional | None | $416.87 | $489.78 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $724.44 | Professional | None | $416.87 | $489.78 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $676.08 Typical High $676.08 | Professional | None | $354.81 | $676.08 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $524.81 Typical High $831.76 | Facility | None | $512.86 | $524.81 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $575.44 | Professional | None | $338.84 | $363.08 | $575.44 |
Sentara Setting Facility Modifier None Typical Low $323.59 Median $1,071.52 Typical High $3,981.07 | Facility | None | $323.59 | $1,071.52 | $3,981.07 |
Sentara Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $758.58 | Professional | None | $323.59 | $501.19 | $758.58 |
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 $316.23 Median $436.52 Typical High $758.58 | Professional | None | $316.23 | $436.52 | $758.58 |
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 $257.04 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | 53 · Discontinued | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $380.19 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $389.05 |
Where Virginia sits
The same service costs 6.2 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· 34th of 51
$490
AK $1,862TX $302
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.