How much rates vary
Facilitymedian $3,981 · 10th to 90th $851 to $10,965Professionalmedian $871 · 10th to 90th $708 to $1,230
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 $870.96 Median $5,623.41 Typical High $10,964.78 | Facility | None | $870.96 | $5,623.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $4,365.16 | Professional | None | $758.58 | $812.83 | $4,365.16 |
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 $724.44 Median $870.96 Typical High $1,047.13 | Professional | None | $724.44 | $870.96 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $549.54 Typical High $660.69 | Professional | 62 · Two surgeons | $457.09 | $549.54 | $660.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $138.04 Typical High $169.82 | Professional | 80 · Assistant surgeon | $114.82 | $138.04 | $169.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $120.23 Typical High $147.91 | Professional | AS · PA/NP assist | $100.00 | $120.23 | $147.91 |
CareFirst Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,047.13 | Professional | None | $794.33 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $3,715.35 | Facility | None | $645.65 | $1,995.26 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,202.26 | Professional | None | $741.31 | $812.83 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,023.29 | Professional | None | $707.95 | $851.14 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $870.96 Median $954.99 Typical High $1,445.44 | Facility | None | $870.96 | $954.99 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Sentara Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $10,232.93 | Facility | None | $630.96 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $6,456.54 | Professional | None | $630.96 | $933.25 | $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 $588.84 Median $831.76 Typical High $1,412.54 | Professional | None | $588.84 | $831.76 | $1,412.54 |
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 $363.08 Median $407.38 Typical High $436.52 | Professional | 52 · Reduced service | $363.08 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $162.18 Typical High $177.83 | Professional | 53 · Discontinued | $147.91 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $616.60 Typical High $660.69 | Professional | 54 · Surgery only | $549.54 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $123.03 Typical High $131.83 | Professional | 55 · Aftercare only | $109.65 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $81.28 Typical High $87.10 | Professional | 56 · Pre-op care only | $72.44 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $575.44 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $512.86 | $575.44 | $616.60 |
Where Virginia sits
The same service costs 8.1 times more in Alaska than in Texas. 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· 36th of 51
$891
AK $3,236TX $398
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.