How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,096 to $15,849Professionalmedian $1,175 · 10th to 90th $955 to $1,622
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 $1,230.27 Median $5,623.41 Typical High $15,488.17 | Facility | None | $1,230.27 | $5,623.41 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,174.90 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $12,022.64 Typical High $15,848.93 | Facility | None | $9,772.37 | $12,022.64 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,000.00 | $1,202.26 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,778.28 Typical High $2,137.96 | Professional | 50 · Both sides | $1,479.11 | $1,778.28 | $2,137.96 |
CareFirst Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,174.90 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,548.13 Typical High $7,079.46 | Facility | None | $512.86 | $3,548.13 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,621.81 | Professional | None | $977.24 | $1,071.52 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,412.54 | Professional | None | $933.25 | $1,122.02 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,412.54 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,949.84 | Facility | None | $1,174.90 | $1,380.38 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,288.25 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $2,818.38 Typical High $11,481.54 | Facility | None | $933.25 | $2,818.38 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,511.89 | Professional | None | $977.24 | $1,258.93 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,630.27 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,905.46 | Professional | None | $741.31 | $954.99 | $1,905.46 |
4 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 $831.76 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $831.76 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $109.65 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $776.25 | $831.76 | $831.76 |
Where Virginia sits
The same service costs 7.6 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· 38th of 51
$1,175
AK $4,266TX $562
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.