How much rates vary
Facilitymedian $2,188 · 10th to 90th $676 to $6,918Professionalmedian $1,514 · 10th to 90th $1,148 to $2,089
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 $1,513.56 Median $5,370.32 Typical High $14,125.38 | Facility | None | $1,513.56 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,513.56 | $1,698.24 |
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 $1,348.96 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,584.89 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,995.26 Median $2,398.83 Typical High $2,884.03 | Professional | 50 · Both sides | $1,995.26 | $2,398.83 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,000.00 Typical High $1,202.26 | Professional | 62 · Two surgeons | $851.14 | $1,000.00 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $257.04 Typical High $309.03 | Professional | 80 · Assistant surgeon | $213.80 | $257.04 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $223.87 Typical High $269.15 | Professional | AS · PA/NP assist | $186.21 | $223.87 | $269.15 |
CareFirst Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,548.82 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,318.26 Typical High $2,691.53 | Facility | None | $524.81 | $1,318.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,445.44 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,479.11 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,548.82 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,454.71 | Facility | None | $1,318.26 | $1,318.26 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,412.54 | $1,584.89 |
Sentara Setting Facility Modifier None Typical Low $676.08 Median $1,584.89 Typical High $4,570.88 | Facility | None | $676.08 | $1,584.89 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $3,162.28 | Professional | None | $977.24 | $1,479.11 | $3,162.28 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $5,888.44 | Facility | None | $588.84 | $2,187.76 | $5,888.44 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,398.83 | Professional | None | $851.14 | $1,174.90 | $2,398.83 |
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 $691.83 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $691.83 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $275.42 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,047.13 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $208.93 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $977.24 | $1,047.13 | $1,047.13 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Delaware. 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 $8,917DE $2,410
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.