How much rates vary
Facilitymedian $3,802 · 10th to 90th $708 to $11,220Professionalmedian $692 · 10th to 90th $550 to $955
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 $1,548.82 Median $7,244.36 Typical High $15,488.17 | Facility | None | $1,548.82 | $7,244.36 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $954.99 | Professional | None | $660.69 | $707.95 | $954.99 |
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 $588.84 Median $707.95 Typical High $851.14 | Professional | None | $588.84 | $707.95 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,071.52 Typical High $1,288.25 | Professional | 50 · Both sides | $891.25 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $371.54 Median $446.68 Typical High $537.03 | Professional | 62 · Two surgeons | $371.54 | $446.68 | $537.03 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $831.76 | Professional | None | $630.96 | $707.95 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $2,511.89 | Facility | None | $645.65 | $1,122.02 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $954.99 | Professional | None | $524.81 | $645.65 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $851.14 | Professional | None | $575.44 | $691.83 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | None | $741.31 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $1,148.15 | Facility | None | $707.95 | $741.31 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $794.33 | Professional | None | $707.95 | $776.25 | $794.33 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $10,232.93 | Facility | None | $512.86 | $1,819.70 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,479.11 | Professional | None | $588.84 | $707.95 | $1,479.11 |
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 $426.58 Median $562.34 Typical High $1,122.02 | Professional | None | $426.58 | $562.34 | $1,122.02 |
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 $331.13 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $331.13 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $131.83 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $489.78 |
Where Virginia sits
The same service costs 7.2 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· 38th of 51
$708
AK $2,570UT $355
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.