How much rates vary
Facilitymedian $1,349 · 10th to 90th $437 to $5,370Professionalmedian $603 · 10th to 90th $479 to $832
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 $602.56 Median $5,370.32 Typical High $14,125.38 | Facility | None | $602.56 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $831.76 | Professional | None | $575.44 | $602.56 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $741.31 | Professional | None | $512.86 | $616.60 | $741.31 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $323.59 Median $389.05 Typical High $467.74 | Professional | 62 · Two surgeons | $323.59 | $389.05 | $467.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $97.72 Typical High $117.49 | Professional | 80 · Assistant surgeon | $83.18 | $97.72 | $117.49 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $87.10 Typical High $104.71 | Professional | AS · PA/NP assist | $72.44 | $87.10 | $104.71 |
CareFirst Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $724.44 | Professional | None | $549.54 | $602.56 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $2,570.40 | Facility | None | $398.11 | $645.65 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $851.14 | Professional | None | $457.09 | $562.34 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $741.31 | Professional | None | $501.19 | $602.56 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $870.96 | Professional | None | $691.83 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $691.83 Typical High $1,000.00 | Facility | None | $602.56 | $691.83 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $1,047.13 | Professional | None | $645.65 | $691.83 | $1,047.13 |
Sentara Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $2,951.21 | Facility | None | $489.78 | $794.33 | $2,951.21 |
Sentara Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,288.25 | Professional | None | $489.78 | $630.96 | $1,288.25 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $3,630.78 | Facility | None | $323.59 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $977.24 | Professional | None | $380.19 | $489.78 | $977.24 |
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 $288.40 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $426.58 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $398.11 | $426.58 | $426.58 |
Where Virginia sits
The same service costs 6.3 times more in Alaska than in Utah. 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· 35th of 51
$603
AK $2,239UT $355
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.