How much rates vary
Facilitymedian $3,311 · 10th to 90th $407 to $9,772Professionalmedian $331 · 10th to 90th $263 to $603
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 $436.52 Median $5,370.32 Typical High $10,964.78 | Facility | None | $436.52 | $5,370.32 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $537.03 | Professional | None | $288.40 | $436.52 | $537.03 |
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 $263.03 Median $316.23 Typical High $380.19 | Professional | None | $263.03 | $316.23 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $478.63 Typical High $575.44 | Professional | 50 · Both sides | $398.11 | $478.63 | $575.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $165.96 Median $199.53 Typical High $239.88 | Professional | 62 · Two surgeons | $165.96 | $199.53 | $239.88 |
CareFirst Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $407.38 | Professional | None | $275.42 | $309.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $3,235.94 | Facility | None | $645.65 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $630.96 | Professional | None | $275.42 | $407.38 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $602.56 | Professional | None | $398.11 | $478.63 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $660.69 | Professional | None | $512.86 | $645.65 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $794.33 | Facility | None | $316.23 | $478.63 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $630.96 | Professional | None | $478.63 | $549.54 | $630.96 |
Sentara Setting Facility Modifier None Typical Low $295.12 Median $1,258.93 Typical High $8,709.64 | Facility | None | $295.12 | $1,258.93 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $1,047.13 | Professional | None | $398.11 | $524.81 | $1,047.13 |
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 $213.80 Median $380.19 Typical High $691.83 | Professional | None | $213.80 | $380.19 | $691.83 |
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 $144.54 Median $204.17 Typical High $239.88 | Professional | 52 · Reduced service | $144.54 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $81.28 Typical High $97.72 | Professional | 53 · Discontinued | $57.54 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $309.03 Typical High $363.08 | Professional | 54 · Surgery only | $213.80 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $42.66 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $40.74 Typical High $47.86 | Professional | 56 · Pre-op care only | $28.84 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $288.40 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $199.53 | $288.40 | $338.84 |
Where Virginia sits
The same service costs 5.9 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· 47th of 51
$339
AK $1,413UT $240
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.