How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,820 to $15,849Professionalmedian $2,455 · 10th to 90th $1,905 to $3,388
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 $2,398.83 Median $7,244.36 Typical High $14,125.38 | Facility | None | $2,398.83 | $7,244.36 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,187.76 | $2,754.23 |
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 $2,137.96 Median $2,570.40 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,570.40 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,621.81 Typical High $1,949.84 | Professional | 62 · Two surgeons | $1,348.96 | $1,621.81 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $407.38 Typical High $489.78 | Professional | 80 · Assistant surgeon | $346.74 | $407.38 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $363.08 Typical High $436.52 | Professional | AS · PA/NP assist | $302.00 | $363.08 | $436.52 |
CareFirst Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,570.40 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,548.13 Typical High $7,079.46 | Facility | None | $512.86 | $3,548.13 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,905.46 | $2,238.72 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $3,162.28 | Professional | None | $2,089.30 | $2,511.89 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,454.71 | $3,019.95 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,630.78 | Facility | None | $2,187.76 | $2,818.38 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,778.28 | $1,819.70 | $2,570.40 |
Sentara Setting Facility Modifier None Typical Low $1,513.56 Median $3,630.78 Typical High $11,748.98 | Facility | None | $1,513.56 | $3,630.78 | $11,748.98 |
Sentara Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $5,370.32 | Professional | None | $1,819.70 | $2,511.89 | $5,370.32 |
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 $1,513.56 Median $2,041.74 Typical High $4,073.80 | Professional | None | $1,513.56 | $2,041.74 | $4,073.80 |
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 $1,659.59 Median $1,659.59 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,659.59 |
Where Virginia sits
The same service costs 9.1 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· 33rd of 51
$2,512
AK $9,333TX $1,023
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.