How much rates vary
Facilitymedian $2,138 · 10th to 90th $562 to $6,026Professionalmedian $575 · 10th to 90th $468 to $813
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 $575.44 Median $4,786.30 Typical High $10,000.00 | Facility | None | $575.44 | $4,786.30 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $812.83 | Professional | None | $562.34 | $575.44 | $812.83 |
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 $501.19 Median $602.56 Typical High $724.44 | Professional | None | $501.19 | $602.56 | $724.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $891.25 Typical High $1,071.52 | Professional | 50 · Both sides | $741.31 | $891.25 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $316.23 Median $380.19 Typical High $457.09 | Professional | 62 · Two surgeons | $316.23 | $380.19 | $457.09 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $95.50 Typical High $114.82 | Professional | 80 · Assistant surgeon | $79.43 | $95.50 | $114.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $83.18 Typical High $100.00 | Professional | AS · PA/NP assist | $69.18 | $83.18 | $100.00 |
CareFirst Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $724.44 | Professional | None | $501.19 | $549.54 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,071.52 Typical High $2,187.76 | Facility | None | $478.63 | $1,071.52 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $812.83 | Professional | None | $478.63 | $537.03 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $741.31 | Professional | None | $489.78 | $588.84 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $794.33 | Professional | None | $630.96 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $954.99 | Facility | None | $575.44 | $630.96 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,318.26 | Professional | None | $602.56 | $602.56 | $1,318.26 |
Sentara Setting Facility Modifier None Typical Low $501.19 Median $1,071.52 Typical High $3,630.78 | Facility | None | $501.19 | $1,071.52 | $3,630.78 |
Sentara Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $1,258.93 | Professional | None | $501.19 | $602.56 | $1,258.93 |
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 $354.81 Median $467.74 Typical High $933.25 | Professional | None | $354.81 | $467.74 | $933.25 |
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 $416.87 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $416.87 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $389.05 | $407.38 | $407.38 |
Where Virginia sits
The same service costs 8.1 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· 35th of 51
$575
AK $2,138TX $263
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.