How much rates vary
Facilitymedian $10,233 · 10th to 90th $2,042 to $22,909Professionalmedian $2,512 · 10th to 90th $1,995 to $3,467
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 $2,511.89 Median $7,244.36 Typical High $14,125.38 | Facility | None | $2,511.89 | $7,244.36 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $2,818.38 | Professional | None | $2,454.71 | $2,511.89 | $2,818.38 |
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 $2,187.76 Median $2,630.27 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,630.27 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,659.59 Typical High $1,995.26 | Professional | 62 · Two surgeons | $1,380.38 | $1,659.59 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $416.87 Typical High $501.19 | Professional | 80 · Assistant surgeon | $354.81 | $416.87 | $501.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $371.54 Typical High $446.68 | Professional | AS · PA/NP assist | $309.03 | $371.54 | $446.68 |
CareFirst Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,398.83 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $10,964.78 Typical High $22,387.21 | Facility | None | $512.86 | $10,964.78 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,905.46 | $2,290.87 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $3,235.94 | Professional | None | $2,089.30 | $2,511.89 | $3,235.94 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,630.27 | $3,388.44 | $3,388.44 |
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $4,365.16 | Facility | None | $2,511.89 | $2,630.27 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,862.09 | $1,905.46 | $2,344.23 |
Sentara Setting Facility Modifier None Typical Low $1,737.80 Median $3,981.07 Typical High $18,620.87 | Facility | None | $1,737.80 | $3,981.07 | $18,620.87 |
Sentara Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $5,495.41 | Professional | None | $2,041.74 | $2,511.89 | $5,495.41 |
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 $1,548.82 Median $2,089.30 Typical High $4,168.69 | Professional | None | $1,548.82 | $2,089.30 | $4,168.69 |
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 $1,819.70 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,819.70 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,778.28 | $1,778.28 |
Where Virginia sits
The same service costs 8.1 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· 35th of 51
$2,512
AK $9,550TX $1,175
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.