How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,072 to $13,490Professionalmedian $1,072 · 10th to 90th $851 to $1,549
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 $5,623.41 Typical High $10,964.78 | Facility | None | $1,071.52 | $5,623.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,071.52 | $1,479.11 |
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 $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 $1,621.81 Typical High $1,949.84 | Professional | 50 · Both sides | $1,348.96 | $1,621.81 | $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 $144.54 Median $173.78 Typical High $208.93 | Professional | 80 · Assistant surgeon | $144.54 | $173.78 | $208.93 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $151.36 Typical High $181.97 | Professional | AS · PA/NP assist | $125.89 | $151.36 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,148.15 | Professional | None | $954.99 | $1,071.52 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $3,235.94 | Facility | None | $645.65 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,548.82 | Professional | None | $794.33 | $977.24 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,258.93 | Professional | None | $851.14 | $1,023.29 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,949.84 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,737.80 | Facility | None | $1,071.52 | $1,348.96 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,548.82 | $1,862.09 |
Sentara Setting Facility Modifier None Typical Low $912.01 Median $2,454.71 Typical High $10,232.93 | Facility | None | $912.01 | $2,454.71 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $2,290.87 | Professional | None | $933.25 | $1,202.26 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,862.09 | Professional | None | $660.69 | $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 $501.19 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $501.19 | $537.03 | $537.03 |
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 $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $741.31 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $758.58 |
Where Virginia sits
The same service costs 16.2 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 $240
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.