How much rates vary
Facilitymedian $6,918 · 10th to 90th $933 to $30,903Professionalmedian $1,585 · 10th to 90th $1,122 to $2,344
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 $1,445.44 Median $1,584.89 Typical High $22,908.68 | Facility | None | $1,445.44 | $1,584.89 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,584.89 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $34,673.69 Median $42,657.95 Typical High $47,863.01 | Facility | None | $34,673.69 | $42,657.95 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,584.89 | $1,995.26 |
CareFirst Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $1,995.26 | Professional | None | $1,047.13 | $1,548.82 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,230.27 Typical High $43,651.58 | Facility | None | $512.86 | $1,230.27 | $43,651.58 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,000.00 | $1,380.38 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,513.56 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,513.56 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,570.40 | Facility | None | $1,023.29 | $1,023.29 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Sentara Setting Facility Modifier None Typical Low $794.33 Median $2,630.27 Typical High $10,715.19 | Facility | None | $794.33 | $2,630.27 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $794.33 Median $1,698.24 Typical High $7,413.10 | Professional | None | $794.33 | $1,698.24 | $7,413.10 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,630.27 | Professional | None | $812.83 | $1,412.54 | $2,630.27 |
1 more rate 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 78 · Unplanned return to OR Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $977.24 | $1,096.48 | $1,096.48 |
Where Virginia sits
The same service costs 5.7 times more in Alaska than in Kentucky. 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 $13,752KY $2,420
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.