How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,047 to $22,387Professionalmedian $1,349 · 10th to 90th $1,122 to $2,042
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 $1,348.96 Median $5,495.41 Typical High $14,125.38 | Facility | None | $1,348.96 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,348.96 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $14,125.38 Typical High $26,302.68 | Facility | None | $5,888.44 | $14,125.38 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,380.38 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $2,041.74 Typical High $2,630.27 | Professional | 50 · Both sides | $1,737.80 | $2,041.74 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $870.96 Typical High $1,096.48 | Professional | 62 · Two surgeons | $724.44 | $870.96 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $218.78 Typical High $281.84 | Professional | 80 · Assistant surgeon | $181.97 | $218.78 | $281.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $190.55 Typical High $245.47 | Professional | AS · PA/NP assist | $162.18 | $190.55 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,348.96 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,495.41 | Facility | None | $501.19 | $1,174.90 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,318.26 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,348.96 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,513.56 | $1,862.09 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $2,187.76 | Facility | None | $1,348.96 | $1,479.11 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Sentara Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $7,413.10 | Facility | None | $1,000.00 | $1,995.26 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,513.56 | $3,090.30 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,344.23 | Professional | None | $912.01 | $1,445.44 | $2,344.23 |
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 $912.01 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $912.01 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $851.14 | $954.99 | $954.99 |
Where Virginia sits
The same service costs 6.8 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· 30th of 51
$1,445
AK $5,012TX $741
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.