How much rates vary
Facilitymedian $3,467 · 10th to 90th $759 to $9,772Professionalmedian $741 · 10th to 90th $617 to $1,072
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 $758.58 Median $5,370.32 Typical High $14,125.38 | Facility | None | $758.58 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $1,047.13 | Professional | None | $707.95 | $758.58 | $1,047.13 |
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 $630.96 Median $758.58 Typical High $912.01 | Professional | None | $630.96 | $758.58 | $912.01 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,148.15 Typical High $1,380.38 | Professional | 50 · Both sides | $954.99 | $1,148.15 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $120.23 Typical High $144.54 | Professional | 80 · Assistant surgeon | $102.33 | $120.23 | $144.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $107.15 Typical High $128.82 | Professional | AS · PA/NP assist | $89.13 | $107.15 | $128.82 |
CareFirst Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $933.25 | Professional | None | $660.69 | $741.31 | $933.25 |
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 $645.65 Median $676.08 Typical High $1,071.52 | Professional | None | $645.65 | $676.08 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $891.25 | Professional | None | $602.56 | $724.44 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | None | $870.96 | $1,122.02 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $1,258.93 | Facility | None | $758.58 | $912.01 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,000.00 | Professional | None | $851.14 | $954.99 | $1,000.00 |
Sentara Setting Facility Modifier None Typical Low $616.60 Median $1,778.28 Typical High $8,709.64 | Facility | None | $616.60 | $1,778.28 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,621.81 | Professional | None | $676.08 | $812.83 | $1,621.81 |
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 $478.63 Median $645.65 Typical High $1,230.27 | Professional | None | $478.63 | $645.65 | $1,230.27 |
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 $524.81 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $524.81 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $489.78 | $537.03 | $537.03 |
Where Virginia sits
The same service costs 3.9 times more in Wisconsin than in Kentucky. 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
WI $7,117KY $1,804
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.