How much rates vary
Facilitymedian $1,549 · 10th to 90th $355 to $5,248Professionalmedian $417 · 10th to 90th $339 to $676
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 $416.87 Median $4,365.16 Typical High $10,000.00 | Facility | None | $416.87 | $4,365.16 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $2,630.27 | Professional | None | $389.05 | $416.87 | $2,630.27 |
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 $338.84 Median $407.38 Typical High $524.81 | Professional | None | $338.84 | $407.38 | $524.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $616.60 Typical High $776.25 | Professional | 50 · Both sides | $512.86 | $616.60 | $776.25 |
CareFirst Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $758.58 | Professional | None | $354.81 | $389.05 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $2,041.74 Typical High $4,168.69 | Facility | None | $346.74 | $2,041.74 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $645.65 | Professional | None | $354.81 | $426.58 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $467.74 | Professional | None | $316.23 | $371.54 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $660.69 | Professional | None | $524.81 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $691.83 | Facility | None | $416.87 | $562.34 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $2,951.21 | Facility | None | $354.81 | $741.31 | $2,951.21 |
Sentara Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $1,778.28 | Professional | None | $354.81 | $501.19 | $1,778.28 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $3,981.07 | Facility | None | $323.59 | $1,445.44 | $3,981.07 |
United Setting Professional Modifier None Typical Low $309.03 Median $501.19 Typical High $741.31 | Professional | None | $309.03 | $501.19 | $741.31 |
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 $194.98 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $194.98 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $77.62 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $288.40 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $57.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $38.90 | $41.69 | $41.69 |
Where Virginia sits
The same service costs 5.2 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $4,868DE $935
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.