How much rates vary
Facilitymedian $10,000 · 10th to 90th $2,188 to $21,878Professionalmedian $2,399 · 10th to 90th $1,950 to $3,311
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 $2,454.71 Median $7,244.36 Typical High $14,125.38 | Facility | None | $2,454.71 | $7,244.36 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $2,691.53 | Professional | None | $2,187.76 | $2,454.71 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $12,022.64 Typical High $15,848.93 | Facility | None | $9,772.37 | $12,022.64 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,398.83 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,513.56 Typical High $1,819.70 | Professional | 62 · Two surgeons | $1,258.93 | $1,513.56 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $389.05 Typical High $457.09 | Professional | 80 · Assistant surgeon | $323.59 | $389.05 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $338.84 Typical High $407.38 | Professional | AS · PA/NP assist | $281.84 | $338.84 | $407.38 |
CareFirst Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,454.71 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $8,709.64 Typical High $17,378.01 | Facility | None | $512.86 | $8,709.64 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $3,388.44 | Professional | None | $2,041.74 | $2,137.96 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,187.76 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,715.35 | $3,715.35 |
Medcost Setting Facility Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,454.71 | $2,951.21 | $3,981.07 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $3,019.95 | Professional | None | $2,630.27 | $2,691.53 | $3,019.95 |
Sentara Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $18,620.87 | Facility | None | $1,659.59 | $3,981.07 | $18,620.87 |
Sentara Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $5,011.87 | Professional | None | $2,137.96 | $2,754.23 | $5,011.87 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $13,489.63 Typical High $36,307.81 | Facility | None | $4,570.88 | $13,489.63 | $36,307.81 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,513.56 | $2,041.74 | $3,890.45 |
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 $1,096.48 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,096.48 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $446.68 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,659.59 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $218.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,698.24 | $1,698.24 |
Where Virginia sits
The same service costs 6.5 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· 37th of 51
$2,455
AK $8,710TX $1,349
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.