How much rates vary
Facilitymedian $955 · 10th to 90th $178 to $5,495Professionalmedian $776 · 10th to 90th $631 to $1,096
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 $794.33 Median $4,365.16 Typical High $14,125.38 | Facility | None | $794.33 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $794.33 Typical High $933.25 | Professional | None | $758.58 | $794.33 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $933.25 | Professional | None | $645.65 | $776.25 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $123.03 Typical High $147.91 | Professional | 80 · Assistant surgeon | $102.33 | $123.03 | $147.91 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $107.15 Typical High $128.82 | Professional | AS · PA/NP assist | $89.13 | $107.15 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $912.01 | Professional | None | $758.58 | $851.14 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,230.27 Typical High $3,019.95 | Facility | None | $512.86 | $1,230.27 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,148.15 | Professional | None | $645.65 | $741.31 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $912.01 | Professional | None | $616.60 | $741.31 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $977.24 Typical High $1,318.26 | Facility | None | $794.33 | $977.24 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $977.24 | Professional | None | $588.84 | $630.96 | $977.24 |
Sentara Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $10,232.93 | Facility | None | $398.11 | $912.01 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,698.24 | Professional | None | $741.31 | $933.25 | $1,698.24 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,089.30 | Facility | None | $100.00 | $660.69 | $2,089.30 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,288.25 | Professional | None | $501.19 | $707.95 | $1,288.25 |
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 $380.19 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $380.19 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $154.88 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $575.44 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $75.86 | $79.43 | $79.43 |
Where Virginia sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 37th of 51
$794
AK $3,020FL $646
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.