How much rates vary
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 $251.19 Median $5,495.41 Typical High $10,964.78 | Facility | None | $251.19 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $363.08 | Professional | None | $223.87 | $323.59 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $302.00 | Professional | None | $208.93 | $251.19 | $302.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $380.19 Typical High $457.09 | Professional | 50 · Both sides | $316.23 | $380.19 | $457.09 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $131.83 Median $158.49 Typical High $190.55 | Professional | 62 · Two surgeons | $131.83 | $158.49 | $190.55 |
CareFirst Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $302.00 | Professional | None | $234.42 | $257.04 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $2,691.53 | Facility | None | $186.21 | $354.81 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $467.74 | Professional | None | $218.78 | $309.03 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $446.68 | Professional | None | $295.12 | $354.81 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $562.34 | Professional | None | $457.09 | $562.34 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $602.56 | Facility | None | $251.19 | $363.08 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $851.14 Typical High $851.14 | Professional | None | $407.38 | $851.14 | $851.14 |
Sentara Setting Facility Modifier None Typical Low $204.17 Median $1,023.29 Typical High $10,232.93 | Facility | None | $204.17 | $1,023.29 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $776.25 | Professional | None | $316.23 | $398.11 | $776.25 |
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 $169.82 Median $281.84 Typical High $537.03 | Professional | None | $169.82 | $281.84 | $537.03 |
1 more rate 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 78 · Unplanned return to OR Typical Low $158.49 Median $208.93 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $158.49 | $208.93 | $257.04 |
Where Virginia sits
The same service costs 5.0 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· 45th of 51
$275
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.