How much rates vary
Facilitymedian $3,548 · 10th to 90th $457 to $10,000Professionalmedian $389 · 10th to 90th $316 to $631
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 $1,230.27 Median $5,623.41 Typical High $14,791.08 | Facility | None | $1,230.27 | $5,623.41 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $3,981.07 | Professional | None | $363.08 | $389.05 | $3,981.07 |
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 $316.23 Median $380.19 Typical High $478.63 | Professional | None | $316.23 | $380.19 | $478.63 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $562.34 Typical High $724.44 | Professional | 50 · Both sides | $478.63 | $562.34 | $724.44 |
CareFirst Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $2,511.89 | Professional | None | $323.59 | $363.08 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,778.28 Typical High $3,235.94 | Facility | None | $524.81 | $1,778.28 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $616.60 | Professional | None | $331.13 | $398.11 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $436.52 | Professional | None | $295.12 | $346.74 | $436.52 |
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 $389.05 Median $537.03 Typical High $645.65 | Facility | None | $389.05 | $537.03 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Sentara Setting Facility Modifier None Typical Low $363.08 Median $1,584.89 Typical High $8,709.64 | Facility | None | $363.08 | $1,584.89 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $5,128.61 | Professional | None | $354.81 | $467.74 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $13,182.57 | Facility | None | $1,230.27 | $5,011.87 | $13,182.57 |
United Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $707.95 | Professional | None | $288.40 | $467.74 | $707.95 |
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 $177.83 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $177.83 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $269.15 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $36.31 | $38.90 | $38.90 |
Where Virginia sits
The same service costs 4.7 times more in Alaska than in New York. 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· 47th of 51
$407
AK $1,622NY $347
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.