How much rates vary
Facilitymedian $3,467 · 10th to 90th $759 to $9,550Professionalmedian $794 · 10th to 90th $631 to $1,096
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 $831.76 Median $5,370.32 Typical High $14,125.38 | Facility | None | $831.76 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $933.25 | Professional | None | $724.44 | $831.76 | $933.25 |
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 $676.08 Median $812.83 Typical High $977.24 | Professional | None | $676.08 | $812.83 | $977.24 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $512.86 Typical High $616.60 | Professional | 62 · Two surgeons | $426.58 | $512.86 | $616.60 |
CareFirst Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,023.29 | Professional | None | $707.95 | $776.25 | $1,023.29 |
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 $676.08 Median $741.31 Typical High $1,096.48 | Professional | None | $676.08 | $741.31 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $954.99 | Professional | None | $645.65 | $776.25 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,096.48 | Professional | None | $870.96 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,380.38 | Facility | None | $758.58 | $831.76 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $977.24 | Professional | None | $831.76 | $954.99 | $977.24 |
Sentara Setting Facility Modifier None Typical Low $549.54 Median $1,778.28 Typical High $8,709.64 | Facility | None | $549.54 | $1,778.28 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,737.80 | Professional | None | $616.60 | $851.14 | $1,737.80 |
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 $489.78 Median $660.69 Typical High $1,288.25 | Professional | None | $489.78 | $660.69 | $1,288.25 |
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 $363.08 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $363.08 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $144.54 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $549.54 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $109.65 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $72.44 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $512.86 | $588.84 | $588.84 |
Where Virginia sits
The same service costs 6.6 times more in Alaska than in Utah. 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· 34th of 51
$813
AK $2,951UT $447
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.