How much rates vary
Facilitymedian $3,467 · 10th to 90th $832 to $9,550Professionalmedian $813 · 10th to 90th $661 to $1,175
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 $831.76 Median $5,370.32 Typical High $14,125.38 | Facility | None | $831.76 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,258.93 | Professional | None | $758.58 | $831.76 | $1,258.93 |
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 $691.83 Median $831.76 Typical High $1,000.00 | Professional | None | $691.83 | $831.76 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Professional | 50 · Both sides | $1,047.13 | $1,230.27 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $131.83 Typical High $158.49 | Professional | 80 · Assistant surgeon | $109.65 | $131.83 | $158.49 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $114.82 Typical High $138.04 | Professional | AS · PA/NP assist | $97.72 | $114.82 | $138.04 |
CareFirst Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $954.99 | Professional | None | $724.44 | $812.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $3,548.13 | Facility | None | $707.95 | $1,445.44 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,174.90 | Professional | None | $707.95 | $741.31 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,000.00 | Professional | None | $660.69 | $794.33 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,258.93 | Professional | None | $954.99 | $1,258.93 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,348.96 | Facility | None | $831.76 | $1,023.29 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | None | $851.14 | $851.14 | $954.99 |
Sentara Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $8,709.64 | Facility | None | $691.83 | $1,778.28 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,778.28 | Professional | None | $724.44 | $891.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $13,182.57 | Facility | None | $1,230.27 | $5,011.87 | $13,182.57 |
United Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $1,348.96 | Professional | None | $512.86 | $707.95 | $1,348.96 |
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 $575.44 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $575.44 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $537.03 | $588.84 | $588.84 |
Where Virginia sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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
WI $7,315MD $2,090
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.