How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,023 to $9,772Professionalmedian $1,122 · 10th to 90th $912 to $1,585
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 $1,174.90 Median $5,370.32 Typical High $14,125.38 | Facility | None | $1,174.90 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,318.26 | Professional | None | $1,047.13 | $1,174.90 | $1,318.26 |
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 $977.24 Median $1,174.90 Typical High $1,380.38 | Professional | None | $977.24 | $1,174.90 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,737.80 Typical High $2,089.30 | Professional | 50 · Both sides | $1,445.44 | $1,737.80 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $186.21 Typical High $223.87 | Professional | 80 · Assistant surgeon | $154.88 | $186.21 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $162.18 Typical High $194.98 | Professional | AS · PA/NP assist | $134.90 | $162.18 | $194.98 |
CareFirst Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,122.02 | $1,348.96 |
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 $954.99 Median $1,047.13 Typical High $1,621.81 | Professional | None | $954.99 | $1,047.13 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,380.38 | Professional | None | $933.25 | $1,122.02 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,949.84 | Facility | None | $1,174.90 | $1,318.26 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,230.27 | $1,445.44 |
Sentara Setting Facility Modifier None Typical Low $870.96 Median $1,819.70 Typical High $8,709.64 | Facility | None | $870.96 | $1,819.70 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,174.90 | $2,454.71 |
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 $724.44 Median $912.01 Typical High $1,905.46 | Professional | None | $724.44 | $912.01 | $1,905.46 |
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 $794.33 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $794.33 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $741.31 | $831.76 | $831.76 |
Where Virginia sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.