How much rates vary
Facilitymedian $2,344 · 10th to 90th $603 to $7,586Professionalmedian $692 · 10th to 90th $562 to $1,072
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 $691.83 Median $4,786.30 Typical High $10,000.00 | Facility | None | $691.83 | $4,786.30 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $2,570.40 | Professional | None | $630.96 | $691.83 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,413.10 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $851.14 | Professional | None | $562.34 | $660.69 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $1,000.00 Typical High $1,288.25 | Professional | 50 · Both sides | $831.76 | $1,000.00 | $1,288.25 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $4,365.16 | Professional | None | $575.44 | $630.96 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,691.53 Typical High $5,128.61 | Facility | None | $512.86 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,047.13 | Professional | None | $575.44 | $691.83 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $758.58 | Professional | None | $512.86 | $602.56 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,071.52 | Professional | None | $851.14 | $1,071.52 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,122.02 | Facility | None | $691.83 | $912.01 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Sentara Setting Facility Modifier None Typical Low $588.84 Median $1,148.15 Typical High $3,715.35 | Facility | None | $588.84 | $1,148.15 | $3,715.35 |
Sentara Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $2,754.23 | Professional | None | $588.84 | $812.83 | $2,754.23 |
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 $501.19 Median $812.83 Typical High $1,230.27 | Professional | None | $501.19 | $812.83 | $1,230.27 |
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 $316.23 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $316.23 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $125.89 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $478.63 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $63.10 | $69.18 | $69.18 |
Where Virginia sits
The same service costs 3.9 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· 42nd of 51
$708
AK $2,399UT $617
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.