How much rates vary
Facilitymedian $1,950 · 10th to 90th $631 to $6,166Professionalmedian $759 · 10th to 90th $631 to $1,202
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 $758.58 Median $5,370.32 Typical High $14,125.38 | Facility | None | $758.58 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $3,981.07 | Professional | None | $691.83 | $758.58 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $954.99 | Professional | None | $630.96 | $758.58 | $954.99 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,122.02 Typical High $1,445.44 | Professional | 50 · Both sides | $933.25 | $1,122.02 | $1,445.44 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $3,162.28 | Professional | None | $630.96 | $691.83 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $2,570.40 | Facility | None | $524.81 | $831.76 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,148.15 | Professional | None | $645.65 | $776.25 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $851.14 | Professional | None | $575.44 | $691.83 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,096.48 | Professional | None | $891.25 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $1,230.27 | Facility | None | $758.58 | $912.01 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Sentara Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $3,630.78 | Facility | None | $524.81 | $1,174.90 | $3,630.78 |
Sentara Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $3,019.95 | Professional | None | $645.65 | $891.25 | $3,019.95 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $5,888.44 | Facility | None | $588.84 | $2,187.76 | $5,888.44 |
United Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $1,348.96 | Professional | None | $549.54 | $891.25 | $1,348.96 |
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 $346.74 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $346.74 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $524.81 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $524.81 |
Where Virginia sits
The same service costs 5.9 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· 34th of 51
$794
AK $2,692UT $457
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.