How much rates vary
Facilitymedian $3,548 · 10th to 90th $977 to $10,965Professionalmedian $1,072 · 10th to 90th $813 to $1,549
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 $1,122.02 Median $2,041.74 Typical High $8,317.64 | Facility | None | $1,122.02 | $2,041.74 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,659.59 | Professional | None | $870.96 | $1,122.02 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $7,244.36 | Facility | None | $4,677.35 | $6,456.54 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,412.54 | Professional | None | $812.83 | $1,047.13 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $169.82 Typical High $223.87 | Professional | 80 · Assistant surgeon | $128.82 | $169.82 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $144.54 Typical High $194.98 | Professional | AS · PA/NP assist | $114.82 | $144.54 | $194.98 |
CareFirst Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,071.52 | Professional | None | $812.83 | $912.01 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $4,786.30 | Facility | None | $707.95 | $2,187.76 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,548.82 | Professional | None | $831.76 | $1,047.13 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,000.00 | $1,318.26 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,949.84 | Facility | None | $977.24 | $1,230.27 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Sentara Setting Facility Modifier None Typical Low $831.76 Median $2,238.72 Typical High $10,232.93 | Facility | None | $831.76 | $2,238.72 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $6,456.54 | Professional | None | $1,096.48 | $1,318.26 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,778.28 | Professional | None | $776.25 | $1,071.52 | $1,778.28 |
2 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 54 · Surgery only Typical Low $660.69 Median $741.31 Typical High $912.01 | Professional | 54 · Surgery only | $660.69 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $691.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $616.60 | $691.83 | $851.14 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in West Virginia. 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.
Physician feeFacility fee
AK $8,334WV $2,168
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.