How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,023 to $15,488Professionalmedian $1,047 · 10th to 90th $851 to $1,479
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 $1,071.52 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,071.52 | $6,165.95 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,445.44 | Professional | None | $977.24 | $1,071.52 | $1,445.44 |
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 $891.25 Median $1,071.52 Typical High $1,288.25 | Professional | None | $891.25 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,584.89 Typical High $1,949.84 | Professional | 50 · Both sides | $1,348.96 | $1,584.89 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $676.08 Typical High $812.83 | Professional | 62 · Two surgeons | $562.34 | $676.08 | $812.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $169.82 Typical High $204.17 | Professional | 80 · Assistant surgeon | $141.25 | $169.82 | $204.17 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | AS · PA/NP assist | $125.89 | $147.91 | $177.83 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,380.38 | Professional | None | $933.25 | $1,047.13 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $8,912.51 | Facility | None | $724.44 | $3,801.89 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,479.11 | Professional | None | $891.25 | $954.99 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,258.93 | Professional | None | $831.76 | $1,000.00 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,659.59 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,737.80 | Facility | None | $1,071.52 | $1,258.93 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,174.90 | $1,288.25 |
Sentara Setting Facility Modifier None Typical Low $891.25 Median $2,454.71 Typical High $10,715.19 | Facility | None | $891.25 | $2,454.71 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $2,290.87 | Professional | None | $933.25 | $1,174.90 | $2,290.87 |
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 $660.69 Median $870.96 Typical High $1,737.80 | Professional | None | $660.69 | $870.96 | $1,737.80 |
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 $489.78 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $741.31 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $97.72 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $691.83 | $741.31 | $741.31 |
Where Virginia sits
The same service costs 7.9 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· 36th of 51
$1,072
AK $3,890TX $490
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.