How much rates vary
Facilitymedian $1,230 · 10th to 90th $372 to $5,623Professionalmedian $575 · 10th to 90th $447 to $1,096
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 $457.09 Median $4,365.16 Typical High $14,125.38 | Facility | None | $457.09 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $1,023.29 | Professional | None | $426.58 | $630.96 | $1,023.29 |
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 $457.09 Median $549.54 Typical High $645.65 | Professional | None | $457.09 | $549.54 | $645.65 |
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 $489.78 Median $537.03 Typical High $645.65 | Professional | None | $489.78 | $537.03 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,621.81 | Facility | None | $302.00 | $478.63 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $1,148.15 | Professional | None | $446.68 | $501.19 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $758.58 | Professional | None | $512.86 | $602.56 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Professional | None | $1,230.27 | $1,230.27 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $977.24 Typical High $1,288.25 | Facility | None | $426.58 | $977.24 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $2,951.21 | Facility | None | $512.86 | $912.01 | $2,951.21 |
Sentara Setting Professional Modifier None Typical Low $588.84 Median $977.24 Typical High $2,290.87 | Professional | None | $588.84 | $977.24 | $2,290.87 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,412.54 Typical High $3,630.78 | Facility | None | $323.59 | $1,412.54 | $3,630.78 |
United Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $1,202.26 | Professional | None | $407.38 | $741.31 | $1,202.26 |
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 $338.84 | Professional | 52 · Reduced service | $213.80 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $125.89 Typical High $134.90 | Professional | 53 · Discontinued | $87.10 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $478.63 Typical High $512.86 | Professional | 54 · Surgery only | $323.59 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $95.50 Typical High $102.33 | Professional | 55 · Aftercare only | $64.57 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $63.10 Typical High $67.61 | Professional | 56 · Pre-op care only | $42.66 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $446.68 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $302.00 | $446.68 | $478.63 |
Where Virginia sits
The same service costs 6.2 times more in Alaska 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· 40th of 51
$603
AK $1,995UT $324
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.