How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,072 to $15,488Professionalmedian $1,047 · 10th to 90th $851 to $1,479
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 $5,370.32 Typical High $14,125.38 | Facility | None | $1,071.52 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,071.52 | $1,548.82 |
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 $891.25 Median $1,071.52 Typical High $1,288.25 | Professional | None | $891.25 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,621.81 Typical High $1,949.84 | Professional | 50 · Both sides | $1,348.96 | $1,621.81 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $676.08 Typical High $812.83 | Professional | 62 · Two surgeons | $562.34 | $676.08 | $812.83 |
CareFirst Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,380.38 | Professional | None | $954.99 | $1,047.13 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $4,786.30 Typical High $8,912.51 | Facility | None | $1,230.27 | $4,786.30 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,513.56 | Professional | None | $912.01 | $977.24 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,258.93 | Professional | None | $851.14 | $1,000.00 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,380.38 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,778.28 | Facility | None | $1,071.52 | $1,202.26 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,380.38 | $2,187.76 |
Sentara Setting Facility Modifier None Typical Low $776.25 Median $2,454.71 Typical High $11,481.54 | Facility | None | $776.25 | $2,454.71 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $2,290.87 | Professional | None | $912.01 | $1,122.02 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,737.80 | Professional | None | $645.65 | $851.14 | $1,737.80 |
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 $741.31 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $741.31 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $758.58 |
Where Virginia sits
The same service costs 5.8 times more in Colorado 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
CO $14,501KY $2,497
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.