How much rates vary
Facilitymedian $5,495 · 10th to 90th $776 to $13,490Professionalmedian $759 · 10th to 90th $603 to $1,072
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 $870.96 Median $7,079.46 Typical High $13,182.57 | Facility | None | $870.96 | $7,079.46 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,318.26 | Professional | None | $575.44 | $870.96 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,413.10 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $891.25 | Professional | None | $630.96 | $758.58 | $891.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,148.15 Typical High $1,348.96 | Professional | 50 · Both sides | $954.99 | $1,148.15 | $1,348.96 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $831.76 | Professional | None | $630.96 | $707.95 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $4,073.80 Typical High $7,585.78 | Facility | None | $524.81 | $4,073.80 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $1,023.29 | Professional | None | $616.60 | $660.69 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $812.83 | Professional | None | $575.44 | $645.65 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $870.96 | Facility | None | $575.44 | $575.44 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Sentara Setting Facility Modifier None Typical Low $660.69 Median $2,137.96 Typical High $10,232.93 | Facility | None | $660.69 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $7,413.10 | Professional | None | $676.08 | $794.33 | $7,413.10 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $8,511.38 Typical High $20,417.38 | Facility | None | $2,137.96 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $1,202.26 | Professional | None | $524.81 | $724.44 | $1,202.26 |
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 $288.40 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $288.40 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $114.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $436.52 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $57.54 | $87.10 | $87.10 |
Where Virginia sits
The same service costs 5.9 times more in Alaska than in Montana. 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 $12,304MT $2,095
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.