How much rates vary
Facilitymedian $3,090 · 10th to 90th $490 to $9,550Professionalmedian $468 · 10th to 90th $389 to $692
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 $478.63 Median $5,248.07 Typical High $10,000.00 | Facility | None | $478.63 | $5,248.07 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $776.25 | Professional | None | $446.68 | $478.63 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $575.44 | Professional | None | $407.38 | $478.63 | $575.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $724.44 Typical High $870.96 | Professional | 50 · Both sides | $602.56 | $724.44 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | 80 · Assistant surgeon | $64.57 | $77.62 | $93.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $67.61 Typical High $81.28 | Professional | AS · PA/NP assist | $56.23 | $67.61 | $81.28 |
CareFirst Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $549.54 | Professional | None | $416.87 | $457.09 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,258.93 Typical High $3,548.13 | Facility | None | $691.83 | $1,258.93 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $660.69 | Professional | None | $407.38 | $436.52 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $588.84 | Professional | None | $389.05 | $467.74 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $707.95 | Professional | None | $537.03 | $707.95 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $776.25 | Facility | None | $478.63 | $575.44 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $537.03 | Professional | None | $354.81 | $371.54 | $537.03 |
Sentara Setting Facility Modifier None Typical Low $389.05 Median $1,584.89 Typical High $8,709.64 | Facility | None | $389.05 | $1,584.89 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $1,023.29 | Professional | None | $426.58 | $501.19 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,897.79 Typical High $13,182.57 | Facility | None | $1,230.27 | $4,897.79 | $13,182.57 |
United Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $776.25 | Professional | None | $295.12 | $407.38 | $776.25 |
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 $331.13 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $331.13 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $309.03 | $331.13 | $331.13 |
Where Virginia sits
The same service costs 4.1 times more in Colorado than in West Virginia. 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
CO $5,160WV $1,245
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.