How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,175 to $9,550Professionalmedian $1,380 · 10th to 90th $1,148 to $1,995
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 $1,445.44 Median $5,370.32 Typical High $14,125.38 | Facility | None | $1,445.44 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,445.44 | $1,862.09 |
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 $1,174.90 Median $1,412.54 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,412.54 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,137.96 Typical High $2,570.40 | Professional | 50 · Both sides | $1,778.28 | $2,137.96 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $223.87 Typical High $269.15 | Professional | 80 · Assistant surgeon | $190.55 | $223.87 | $269.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $199.53 Typical High $239.88 | Professional | AS · PA/NP assist | $165.96 | $199.53 | $239.88 |
CareFirst Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,348.96 | $1,621.81 |
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 $1,202.26 Median $1,258.93 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,258.93 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,318.26 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,659.59 | $2,187.76 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,344.23 | Facility | None | $1,445.44 | $1,737.80 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
Sentara Setting Facility Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $8,709.64 | Facility | None | $1,000.00 | $2,041.74 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,258.93 | $1,548.82 | $3,019.95 |
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 $891.25 Median $1,230.27 Typical High $2,290.87 | Professional | None | $891.25 | $1,230.27 | $2,290.87 |
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 $977.24 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $977.24 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $912.01 | $1,000.00 | $1,000.00 |
Where Virginia sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.