How much rates vary
Facilitymedian $6,607 · 10th to 90th $933 to $16,982Professionalmedian $955 · 10th to 90th $794 to $1,380
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 $9,332.54 | Facility | None | $1,202.26 | $4,786.30 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,348.96 | Professional | None | $912.01 | $977.24 | $1,348.96 |
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 $812.83 Median $977.24 Typical High $1,174.90 | Professional | None | $812.83 | $977.24 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,230.27 Median $1,479.11 Typical High $1,778.28 | Professional | 50 · Both sides | $1,230.27 | $1,479.11 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $512.86 Median $616.60 Typical High $741.31 | Professional | 62 · Two surgeons | $512.86 | $616.60 | $741.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $158.49 Typical High $190.55 | Professional | 80 · Assistant surgeon | $131.83 | $158.49 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $138.04 Typical High $165.96 | Professional | AS · PA/NP assist | $114.82 | $138.04 | $165.96 |
CareFirst Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,258.93 | Professional | None | $870.96 | $954.99 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,019.95 Typical High $16,982.44 | Facility | None | $524.81 | $3,019.95 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,380.38 | Professional | None | $812.83 | $870.96 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,148.15 | Professional | None | $776.25 | $933.25 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,202.26 | $1,479.11 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,584.89 | Facility | None | $977.24 | $1,148.15 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,318.26 | $1,862.09 |
Sentara Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $12,882.50 | Facility | None | $831.76 | $2,454.71 | $12,882.50 |
Sentara Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,089.30 | Professional | None | $870.96 | $1,047.13 | $2,089.30 |
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 $602.56 Median $794.33 Typical High $1,584.89 | Professional | None | $602.56 | $794.33 | $1,584.89 |
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 $457.09 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $181.97 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $676.08 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $134.90 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $630.96 | $676.08 | $676.08 |
Where Virginia sits
The same service costs 7.5 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 $19,036HI $2,542
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.