How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,072 to $16,982Professionalmedian $1,122 · 10th to 90th $933 to $1,585
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 $1,148.15 Median $5,370.32 Typical High $10,000.00 | Facility | None | $1,148.15 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,445.44 | Professional | None | $1,071.52 | $1,148.15 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $13,803.84 Typical High $15,848.93 | Facility | None | $10,964.78 | $13,803.84 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,380.38 | Professional | None | $954.99 | $1,148.15 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,737.80 Typical High $2,089.30 | Professional | 50 · Both sides | $1,445.44 | $1,737.80 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $724.44 Typical High $870.96 | Professional | 62 · Two surgeons | $602.56 | $724.44 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $181.97 Typical High $223.87 | Professional | 80 · Assistant surgeon | $154.88 | $181.97 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $162.18 Typical High $194.98 | Professional | AS · PA/NP assist | $134.90 | $162.18 | $194.98 |
CareFirst Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,122.02 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,019.95 Typical High $17,378.01 | Facility | None | $524.81 | $3,019.95 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,584.89 | Professional | None | $954.99 | $1,023.29 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,348.96 | Professional | None | $912.01 | $1,071.52 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,412.54 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,862.09 | Facility | None | $1,148.15 | $1,348.96 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,318.26 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $2,454.71 Typical High $12,882.50 | Facility | None | $933.25 | $2,454.71 | $12,882.50 |
Sentara Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,230.27 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $26,915.35 | Facility | None | $2,570.40 | $10,000.00 | $26,915.35 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,862.09 | Professional | None | $707.95 | $933.25 | $1,862.09 |
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 $524.81 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $794.33 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $158.49 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $741.31 | $794.33 | $794.33 |
Where Virginia sits
The same service costs 7.2 times more in Alaska than in Hawaii. 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 $19,657HI $2,734
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.