How much rates vary
Facilitymedian $3,715 · 10th to 90th $550 to $10,233Professionalmedian $525 · 10th to 90th $427 to $759
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 $1,096.48 Median $5,495.41 Typical High $14,791.08 | Facility | None | $1,096.48 | $5,495.41 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $3,162.28 | Professional | None | $426.58 | $630.96 | $3,162.28 |
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 $467.74 Median $549.54 Typical High $660.69 | Professional | None | $467.74 | $549.54 | $660.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $831.76 Typical High $977.24 | Professional | 50 · Both sides | $691.83 | $831.76 | $977.24 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $616.60 | Professional | None | $467.74 | $512.86 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,187.76 Typical High $4,168.69 | Facility | None | $478.63 | $2,187.76 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $691.83 | Professional | None | $446.68 | $478.63 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $602.56 | Professional | None | $426.58 | $478.63 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | None | $645.65 | $645.65 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $912.01 | Facility | None | $426.58 | $588.84 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Sentara Setting Facility Modifier None Typical Low $407.38 Median $1,318.26 Typical High $8,709.64 | Facility | None | $407.38 | $1,318.26 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $4,073.80 | Professional | None | $407.38 | $575.44 | $4,073.80 |
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 $346.74 Median $467.74 Typical High $812.83 | Professional | None | $346.74 | $467.74 | $812.83 |
6 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 $213.80 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $213.80 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $85.11 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $323.59 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $64.57 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $42.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $302.00 | $446.68 | $446.68 |
Where Virginia sits
The same service costs 7.9 times more in Wyoming than in Utah. 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· 37th of 51
$562
WY $2,344UT $295
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.