How much rates vary
Facilitymedian $3,090 · 10th to 90th $513 to $9,550Professionalmedian $457 · 10th to 90th $372 to $646
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 $9,332.54 | Facility | None | $575.44 | $4,786.30 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $676.08 | Professional | None | $426.58 | $467.74 | $676.08 |
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 $389.05 Median $467.74 Typical High $549.54 | Professional | None | $389.05 | $467.74 | $549.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $691.83 Typical High $831.76 | Professional | 50 · Both sides | $575.44 | $691.83 | $831.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $74.13 Typical High $89.13 | Professional | 80 · Assistant surgeon | $61.66 | $74.13 | $89.13 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $64.57 Typical High $77.62 | Professional | AS · PA/NP assist | $53.70 | $64.57 | $77.62 |
CareFirst Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $575.44 | Professional | None | $398.11 | $436.52 | $575.44 |
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 $416.87 Typical High $645.65 | Professional | None | $398.11 | $416.87 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $562.34 | Professional | None | $380.19 | $457.09 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $691.83 | Professional | None | $524.81 | $691.83 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $758.58 | Facility | None | $467.74 | $562.34 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $524.81 | Professional | None | $389.05 | $416.87 | $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 $407.38 Median $501.19 Typical High $1,000.00 | Professional | None | $407.38 | $501.19 | $1,000.00 |
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 $288.40 Median $398.11 Typical High $741.31 | Professional | None | $288.40 | $398.11 | $741.31 |
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 $323.59 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $323.59 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $302.00 | $323.59 | $323.59 |
Where Virginia sits
The same service costs 5.1 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 $6,741MT $1,322
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.