How much rates vary
Facilitymedian $3,981 · 10th to 90th $550 to $16,218Professionalmedian $1,230 · 10th to 90th $347 to $3,020
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 $3,801.89 Median $10,000.00 Typical High $19,054.61 | Facility | None | $3,801.89 | $10,000.00 | $19,054.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,513.56 Typical High $14,125.38 | Professional | None (both parts) | $1,288.25 | $1,513.56 | $14,125.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $363.08 Typical High $407.38 | Professional | 26 · Professional part | $295.12 | $363.08 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $977.24 Typical High $1,513.56 | Professional | TC · Technical part | $912.01 | $977.24 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $13,489.63 Typical High $14,791.08 | Facility | None | $9,772.37 | $13,489.63 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $354.81 Typical High $446.68 | Professional | 26 · Professional part | $295.12 | $354.81 | $446.68 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $616.60 Typical High $776.25 | Professional | TC · Technical part | $524.81 | $616.60 | $776.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $2,951.21 | Professional | None (both parts) | $346.74 | $346.74 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $11,220.18 | Facility | None | $8,709.64 | $8,709.64 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,412.54 Typical High $1,905.46 | Professional | None (both parts) | $1,230.27 | $1,412.54 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $426.58 Typical High $707.95 | Professional | 26 · Professional part | $309.03 | $426.58 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $1,412.54 | Professional | TC · Technical part | $912.01 | $1,096.48 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,479.11 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $549.54 | Facility | None | $363.08 | $363.08 | $549.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $363.08 Median $1,122.02 Typical High $3,090.30 | Facility | None | $363.08 | $1,122.02 | $3,090.30 |
Sentara Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,479.11 Typical High $3,019.95 | Professional | None (both parts) | $398.11 | $1,479.11 | $3,019.95 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $426.58 Typical High $758.58 | Professional | 26 · Professional part | $331.13 | $426.58 | $758.58 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,230.27 Typical High $2,238.72 | Professional | TC · Technical part | $977.24 | $1,230.27 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $24,547.09 | Facility | None | $1,995.26 | $8,511.38 | $24,547.09 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $281.84 | $478.63 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $478.63 Typical High $691.83 | Professional | 26 · Professional part | $281.84 | $478.63 | $691.83 |
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 $588.84 Median $630.96 Typical High $741.31 | Professional | 52 · Reduced service | $588.84 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $257.04 Typical High $302.00 | Professional | 53 · Discontinued | $239.88 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $954.99 Typical High $1,122.02 | Professional | 54 · Surgery only | $891.25 | $954.99 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $190.55 Typical High $223.87 | Professional | 55 · Aftercare only | $177.83 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $128.82 Typical High $151.36 | Professional | 56 · Pre-op care only | $120.23 | $128.82 | $151.36 |
Where Virginia sits
The same service costs 14.5 times more in California than in Maine. 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· 33rd of 51
$1,514
CA $8,128ME $562
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.