How much rates vary
Facilitymedian $2,951 · 10th to 90th $501 to $9,550Professionalmedian $468 · 10th to 90th $380 to $676
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 $467.74 Median $3,981.07 Typical High $9,332.54 | Facility | None | $467.74 | $3,981.07 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $758.58 | Professional | None | $436.52 | $467.74 | $758.58 |
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 $398.11 Median $478.63 Typical High $575.44 | Professional | None | $398.11 | $478.63 | $575.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $707.95 Typical High $851.14 | Professional | 50 · Both sides | $602.56 | $707.95 | $851.14 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $75.86 Typical High $91.20 | Professional | 80 · Assistant surgeon | $63.10 | $75.86 | $91.20 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $66.07 Typical High $79.43 | Professional | AS · PA/NP assist | $56.23 | $66.07 | $79.43 |
CareFirst Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $588.84 | Professional | None | $407.38 | $457.09 | $588.84 |
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 $398.11 Median $426.58 Typical High $660.69 | Professional | None | $398.11 | $426.58 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $588.84 | Professional | None | $389.05 | $467.74 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $691.83 | Professional | None | $537.03 | $691.83 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $575.44 Typical High $776.25 | Facility | None | $467.74 | $575.44 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $524.81 | Professional | None | $323.59 | $389.05 | $524.81 |
Sentara Setting Facility Modifier None Typical Low $380.19 Median $1,548.82 Typical High $8,709.64 | Facility | None | $380.19 | $1,548.82 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $1,023.29 | Professional | None | $416.87 | $512.86 | $1,023.29 |
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 $295.12 Median $398.11 Typical High $758.58 | Professional | None | $295.12 | $398.11 | $758.58 |
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 $331.13 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $331.13 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $309.03 | $331.13 | $331.13 |
Where Virginia sits
The same service costs 4.9 times more in Colorado than in Montana. 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
CO $6,755MT $1,384
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.