How much rates vary
Facilitymedian $2,188 · 10th to 90th $832 to $6,918Professionalmedian $1,202 · 10th to 90th $977 to $1,905
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 $1,202.26 Median $4,786.30 Typical High $14,125.38 | Facility | None | $1,202.26 | $4,786.30 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $3,467.37 | Professional | None | $1,071.52 | $1,202.26 | $3,467.37 |
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 $977.24 Median $1,174.90 Typical High $1,513.56 | Professional | None | $977.24 | $1,174.90 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $190.55 Typical High $239.88 | Professional | 80 · Assistant surgeon | $158.49 | $190.55 | $239.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | AS · PA/NP assist | $138.04 | $165.96 | $208.93 |
CareFirst Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $3,890.45 | Professional | None | $1,023.29 | $1,148.15 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,548.13 | Facility | None | $707.95 | $1,445.44 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,202.26 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,380.38 | Professional | None | $933.25 | $1,122.02 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,348.96 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,949.84 | Facility | None | $1,202.26 | $1,412.54 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Sentara Setting Facility Modifier None Typical Low $912.01 Median $1,380.38 Typical High $4,786.30 | Facility | None | $912.01 | $1,380.38 | $4,786.30 |
Sentara Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $3,235.94 | Professional | None | $1,047.13 | $1,348.96 | $3,235.94 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $5,888.44 | Facility | None | $588.84 | $2,187.76 | $5,888.44 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,137.96 | Professional | None | $870.96 | $1,412.54 | $2,137.96 |
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 $794.33 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $794.33 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $741.31 | $831.76 | $831.76 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $7,428KY $2,193
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.