How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,000 to $10,965Professionalmedian $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 $1,148.15 Median $5,370.32 Typical High $14,125.38 | Facility | None | $1,148.15 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,148.15 | $1,288.25 |
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 $933.25 Median $1,122.02 Typical High $1,348.96 | Professional | None | $933.25 | $1,122.02 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,659.59 Typical High $1,995.26 | Professional | 50 · Both sides | $1,380.38 | $1,659.59 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $177.83 Typical High $213.80 | Professional | 80 · Assistant surgeon | $147.91 | $177.83 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $154.88 Typical High $186.21 | Professional | AS · PA/NP assist | $128.82 | $154.88 | $186.21 |
CareFirst Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,380.38 | Professional | None | $954.99 | $1,071.52 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,698.24 Typical High $3,090.30 | Facility | None | $524.81 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,513.56 | Professional | None | $933.25 | $1,023.29 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,318.26 | Professional | None | $891.25 | $1,071.52 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,380.38 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,905.46 | Facility | None | $1,096.48 | $1,096.48 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,348.96 | Professional | None | $1,202.26 | $1,288.25 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $794.33 Median $2,238.72 Typical High $10,232.93 | Facility | None | $794.33 | $2,238.72 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $2,398.83 | Professional | None | $870.96 | $1,202.26 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,862.09 | Professional | None | $676.08 | $870.96 | $1,862.09 |
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 $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $501.19 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $741.31 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $147.91 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $100.00 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $691.83 | $812.83 | $812.83 |
Where Virginia sits
The same service costs 7.6 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· 36th of 51
$1,122
AK $3,981TX $525
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.