How much rates vary
Facilitymedian $891 · 10th to 90th $407 to $3,890Professionalmedian $977 · 10th to 90th $537 to $1,445
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 $851.14 Typical High $1,778.28 | Facility | None | $758.58 | $851.14 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $851.14 Typical High $1,584.89 | Professional | None (both parts) | $758.58 | $851.14 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $741.31 | Professional | 26 · Professional part | $416.87 | $416.87 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $446.68 Typical High $724.44 | Professional | TC · Technical part | $346.74 | $446.68 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $4,897.79 | Facility | None | $2,951.21 | $3,715.35 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $977.24 Typical High $1,288.25 | Professional | None (both parts) | $537.03 | $977.24 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $512.86 Typical High $676.08 | Professional | 26 · Professional part | $426.58 | $512.86 | $676.08 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $165.96 Typical High $218.78 | Professional | 80 · Assistant surgeon | $138.04 | $165.96 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $524.81 Typical High $691.83 | Professional | TC · Technical part | $426.58 | $524.81 | $691.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $489.78 Median $933.25 Typical High $1,047.13 | Professional | None (both parts) | $489.78 | $933.25 | $1,047.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $501.19 Typical High $602.56 | Professional | 26 · Professional part | $446.68 | $501.19 | $602.56 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $288.40 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,187.76 Typical High $3,090.30 | Facility | None | $660.69 | $2,187.76 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,047.13 Typical High $1,621.81 | Professional | None (both parts) | $758.58 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $645.65 Typical High $1,096.48 | Professional | 26 · Professional part | $398.11 | $645.65 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $436.52 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,348.96 | Professional | None | $933.25 | $1,174.90 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,071.52 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,548.82 | Facility | None | $1,174.90 | $1,174.90 | $1,548.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None (both parts) | $851.14 | $851.14 | $1,174.90 |
Sentara Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $2,238.72 | Facility | None | $363.08 | $758.58 | $2,238.72 |
Sentara Setting Professional Modifier None (both parts) Typical Low $407.38 Median $933.25 Typical High $1,905.46 | Professional | None (both parts) | $407.38 | $933.25 | $1,905.46 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $691.83 Typical High $1,122.02 | Professional | 26 · Professional part | $524.81 | $691.83 | $1,122.02 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $512.86 Typical High $954.99 | Professional | TC · Technical part | $302.00 | $512.86 | $954.99 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $3,235.94 | Facility | None | $1,318.26 | $1,445.44 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,148.15 Typical High $1,479.11 | Professional | None (both parts) | $707.95 | $1,148.15 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $630.96 Typical High $912.01 | Professional | 26 · Professional part | $398.11 | $630.96 | $912.01 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $489.78 Typical High $676.08 | Professional | TC · Technical part | $229.09 | $489.78 | $676.08 |
4 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 $380.19 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $380.19 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $562.34 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $537.03 | $562.34 | $645.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $616.60 Typical High $691.83 | Professional | FX · Film X-ray | $616.60 | $616.60 | $691.83 |
Where Virginia sits
The same service costs 5.6 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· 38th of 51
$977
AK $3,715FL $661
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.