How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,023 to $14,125Professionalmedian $1,072 · 10th to 90th $871 to $1,514
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 $1,071.52 Median $5,623.41 Typical High $10,964.78 | Facility | None | $1,071.52 | $5,623.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,071.52 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $12,022.64 Typical High $15,848.93 | Facility | None | $9,772.37 | $12,022.64 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,318.26 | Professional | None | $912.01 | $1,096.48 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,621.81 Typical High $1,995.26 | Professional | 50 · Both sides | $1,380.38 | $1,621.81 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $691.83 Typical High $831.76 | Professional | 62 · Two surgeons | $575.44 | $691.83 | $831.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $173.78 Typical High $208.93 | Professional | 80 · Assistant surgeon | $144.54 | $173.78 | $208.93 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $151.36 Typical High $181.97 | Professional | AS · PA/NP assist | $128.82 | $151.36 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,412.54 | Professional | None | $977.24 | $1,071.52 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,311.31 Typical High $7,079.46 | Facility | None | $645.65 | $3,311.31 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,479.11 | Professional | None | $912.01 | $977.24 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,288.25 | Professional | None | $870.96 | $1,023.29 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,778.28 | Facility | None | $1,071.52 | $1,258.93 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,288.25 | $1,412.54 |
Sentara Setting Facility Modifier None Typical Low $891.25 Median $2,454.71 Typical High $10,232.93 | Facility | None | $891.25 | $2,454.71 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $2,290.87 | Professional | None | $933.25 | $1,174.90 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,737.80 | Professional | None | $676.08 | $870.96 | $1,737.80 |
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 $501.19 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $501.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $758.58 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $707.95 | $758.58 | $758.58 |
Where Virginia sits
The same service costs 7.9 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
$1,072
AK $3,981TX $501
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.