How much rates vary
Facilitymedian $1,318 · 10th to 90th $363 to $4,898Professionalmedian $603 · 10th to 90th $490 to $933
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 $602.56 Median $4,786.30 Typical High $10,000.00 | Facility | None | $602.56 | $4,786.30 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $2,570.40 | Professional | None | $549.54 | $602.56 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $741.31 | Professional | None | $489.78 | $588.84 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $870.96 Typical High $1,122.02 | Professional | 50 · Both sides | $724.44 | $870.96 | $1,122.02 |
CareFirst Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $776.25 | Professional | None | $501.19 | $562.34 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $1,621.81 | Facility | None | $316.23 | $478.63 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $912.01 | Professional | None | $512.86 | $616.60 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $660.69 | Professional | None | $446.68 | $524.81 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $954.99 | Professional | None | $758.58 | $954.99 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $812.83 Typical High $977.24 | Facility | None | $602.56 | $812.83 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $2,951.21 | Facility | None | $512.86 | $851.14 | $2,951.21 |
Sentara Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $2,187.76 | Professional | None | $512.86 | $724.44 | $2,187.76 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $3,630.78 | Facility | None | $323.59 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $436.52 Median $707.95 Typical High $1,071.52 | Professional | None | $436.52 | $707.95 | $1,071.52 |
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 $275.42 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $275.42 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $416.87 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $83.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $54.95 | $60.26 | $60.26 |
Where Virginia sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 39th of 51
$617
AK $2,089UT $525
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.