How much rates vary
Facilitymedian $513 · 10th to 90th $91 to $3,802Professionalmedian $117 · 10th to 90th $89 to $174
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 $100.00 Median $4,365.16 Typical High $14,125.38 | Facility | None | $100.00 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $147.91 | Professional | None | $89.13 | $125.89 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $131.83 | Professional | None | $93.33 | $112.20 | $131.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $169.82 Typical High $199.53 | Professional | 50 · Both sides | $141.25 | $169.82 | $199.53 |
CareFirst Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $141.25 | Professional | None | $107.15 | $117.49 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $1,230.27 | Facility | None | $50.12 | $50.12 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $151.36 | Professional | None | $91.20 | $107.15 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | None | $109.65 | $128.82 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None | $338.84 | $338.84 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $128.82 Typical High $213.80 | Facility | None | $89.13 | $128.82 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Sentara Setting Facility Modifier None Typical Low $91.20 Median $309.03 Typical High $2,454.71 | Facility | None | $91.20 | $309.03 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $870.96 | Professional | None | $114.82 | $165.96 | $870.96 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,089.30 | Facility | None | $100.00 | $660.69 | $2,089.30 |
United Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $186.21 | Professional | None | $77.62 | $109.65 | $186.21 |
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 $44.67 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $44.67 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $25.12 Typical High $29.51 | Professional | 53 · Discontinued | $17.78 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $95.50 Typical High $109.65 | Professional | 54 · Surgery only | $67.61 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $19.05 Typical High $21.88 | Professional | 55 · Aftercare only | $13.49 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $12.59 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.91 | $12.59 | $14.79 |
Where Virginia sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 36th of 51
$117
AK $407FL $91.20
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.