How much rates vary
Facilitymedian $3,715 · 10th to 90th $794 to $11,220Professionalmedian $1,096 · 10th to 90th $871 to $1,660
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 $1,288.25 Median $1,479.11 Typical High $2,511.89 | Facility | None | $1,288.25 | $1,479.11 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,089.30 | Professional | None | $933.25 | $1,288.25 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $6,760.83 Typical High $12,882.50 | Facility | None | $2,818.38 | $6,760.83 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,318.26 | Professional | None | $870.96 | $1,047.13 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $549.54 Median $660.69 Typical High $831.76 | Professional | 62 · Two surgeons | $549.54 | $660.69 | $831.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $165.96 Typical High $213.80 | Professional | 80 · Assistant surgeon | $138.04 | $165.96 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $144.54 Typical High $186.21 | Professional | AS · PA/NP assist | $120.23 | $144.54 | $186.21 |
CareFirst Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,479.11 | $1,659.59 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,495.41 | Facility | None | $501.19 | $1,174.90 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,584.89 | Professional | None | $870.96 | $1,047.13 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,148.15 | Professional | None | $776.25 | $933.25 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,412.54 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,659.59 | Facility | None | $1,258.93 | $1,258.93 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Sentara Setting Facility Modifier None Typical Low $794.33 Median $1,202.26 Typical High $7,413.10 | Facility | None | $794.33 | $1,202.26 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,238.72 | Professional | None | $851.14 | $1,174.90 | $2,238.72 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,778.28 | Professional | None | $758.58 | $1,122.02 | $1,778.28 |
2 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 $467.74 Median $645.65 Typical High $741.31 | Professional | 52 · Reduced service | $467.74 | $645.65 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $257.04 Typical High $295.12 | Professional | 53 · Discontinued | $186.21 | $257.04 | $295.12 |
Where Virginia sits
The same service costs 10.3 times more in Maine than in Arkansas. 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
ME $15,629AR $1,524
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.