How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,202 to $19,953Professionalmedian $1,288 · 10th to 90th $1,023 to $1,820
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 $5,248.07 Typical High $10,000.00 | Facility | None | $1,348.96 | $5,248.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,348.96 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,589.25 Median $22,387.21 Typical High $38,018.94 | Facility | None | $12,589.25 | $22,387.21 | $38,018.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,318.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $831.76 Typical High $1,000.00 | Professional | 62 · Two surgeons | $691.83 | $831.76 | $1,000.00 |
CareFirst Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,288.25 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $16,218.10 Typical High $33,884.42 | Facility | None | $794.33 | $16,218.10 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,174.90 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,230.27 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,412.54 | $1,819.70 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $2,187.76 | Facility | None | $1,348.96 | $1,445.44 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $1,288.25 | Professional | None | $346.74 | $436.52 | $1,288.25 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $2,238.72 Typical High $10,964.78 | Facility | None | $933.25 | $2,238.72 | $10,964.78 |
Sentara Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,348.96 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,548.82 | $6,760.83 | $17,378.01 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $2,137.96 | Professional | None | $812.83 | $1,047.13 | $2,137.96 |
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 $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $912.01 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $851.14 | $933.25 | $933.25 |
Where Virginia sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.