How much rates vary
Facilitymedian $4,677 · 10th to 90th $692 to $11,220Professionalmedian $661 · 10th to 90th $525 to $933
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 $1,548.82 Median $7,244.36 Typical High $14,791.08 | Facility | None | $1,548.82 | $7,244.36 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $912.01 | Professional | None | $630.96 | $660.69 | $912.01 |
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 $562.34 Median $676.08 Typical High $812.83 | Professional | None | $562.34 | $676.08 | $812.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,000.00 Typical High $1,202.26 | Professional | 50 · Both sides | $851.14 | $1,000.00 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $354.81 Median $426.58 Typical High $512.86 | Professional | 62 · Two surgeons | $354.81 | $426.58 | $512.86 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $107.15 Typical High $128.82 | Professional | 80 · Assistant surgeon | $89.13 | $107.15 | $128.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $93.33 Typical High $112.20 | Professional | AS · PA/NP assist | $79.43 | $93.33 | $112.20 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $870.96 | Professional | None | $602.56 | $660.69 | $870.96 |
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 $549.54 Median $602.56 Typical High $933.25 | Professional | None | $549.54 | $602.56 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $812.83 | Professional | None | $549.54 | $660.69 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $977.24 | Professional | None | $776.25 | $977.24 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,071.52 | Facility | None | $660.69 | $758.58 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $2,187.76 | Professional | None | $707.95 | $870.96 | $2,187.76 |
Sentara Setting Facility Modifier None Typical Low $537.03 Median $1,819.70 Typical High $10,232.93 | Facility | None | $537.03 | $1,819.70 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,412.54 | Professional | None | $575.44 | $691.83 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $1,071.52 | Professional | None | $407.38 | $524.81 | $1,071.52 |
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 $309.03 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $309.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $125.89 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $467.74 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $93.33 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $436.52 | $457.09 | $457.09 |
Where Virginia sits
The same service costs 14.1 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· 38th of 51
$661
AK $2,455TX $174
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.