How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,072 to $15,488Professionalmedian $1,148 · 10th to 90th $912 to $1,622
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 $1,148.15 Median $5,888.44 Typical High $14,125.38 | Facility | None | $1,148.15 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,148.15 | $1,548.82 |
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 $954.99 Median $1,148.15 Typical High $1,380.38 | Professional | None | $954.99 | $1,148.15 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $724.44 Typical High $870.96 | Professional | 62 · Two surgeons | $602.56 | $724.44 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $181.97 Typical High $218.78 | Professional | 80 · Assistant surgeon | $151.36 | $181.97 | $218.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $158.49 Typical High $190.55 | Professional | AS · PA/NP assist | $134.90 | $158.49 | $190.55 |
CareFirst Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,202.26 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,466.84 Typical High $8,912.51 | Facility | None | $512.86 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,698.24 | Professional | None | $977.24 | $1,047.13 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,412.54 | Professional | None | $933.25 | $1,122.02 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,412.54 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,905.46 | Facility | None | $1,148.15 | $1,445.44 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,348.96 | $1,479.11 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $2,454.71 Typical High $10,715.19 | Facility | None | $933.25 | $2,454.71 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,288.25 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,862.09 | Professional | None | $724.44 | $977.24 | $1,862.09 |
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 $524.81 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $208.93 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $812.83 | $812.83 |
Where Virginia sits
The same service costs 14.8 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· 38th of 51
$1,148
AK $4,169TX $282
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.