How much rates vary
Facilitymedian $8,128 · 10th to 90th $1,230 to $16,982Professionalmedian $1,413 · 10th to 90th $1,148 to $1,995
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 $1,445.44 Median $5,623.41 Typical High $15,488.17 | Facility | None | $1,445.44 | $5,623.41 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $13,803.84 Typical High $15,848.93 | Facility | None | $10,964.78 | $13,803.84 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,202.26 | $1,445.44 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,187.76 Typical High $2,630.27 | Professional | 50 · Both sides | $1,819.70 | $2,187.76 | $2,630.27 |
CareFirst Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,412.54 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $8,511.38 Typical High $16,595.87 | Facility | None | $512.86 | $8,511.38 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,288.25 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,348.96 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,698.24 | $2,089.30 | $2,089.30 |
Medcost Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,344.23 | Facility | None | $1,445.44 | $1,659.59 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,548.82 | $1,819.70 |
Sentara Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $12,882.50 | Facility | None | $1,023.29 | $3,311.31 | $12,882.50 |
Sentara Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,513.56 | $3,019.95 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $10,964.78 Typical High $26,915.35 | Facility | None | $2,630.27 | $10,964.78 | $26,915.35 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,290.87 | Professional | None | $891.25 | $1,148.15 | $2,290.87 |
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 $1,000.00 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,000.00 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $131.83 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $933.25 | $1,000.00 | $1,000.00 |
Where Virginia sits
The same service costs 8.1 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· 37th of 51
$1,445
AK $5,248TX $646
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.