How much rates vary
Facilitymedian $5,754 · 10th to 90th $562 to $14,125Professionalmedian $550 · 10th to 90th $437 to $851
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 $549.54 Median $5,495.41 Typical High $14,125.38 | Facility | None | $549.54 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $537.03 Typical High $3,388.44 | Professional | None | $524.81 | $537.03 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $12,589.25 | Facility | None | $8,511.38 | $11,220.18 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $676.08 | Professional | None | $436.52 | $524.81 | $676.08 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $85.11 Typical High $107.15 | Professional | 80 · Assistant surgeon | $70.79 | $85.11 | $107.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $74.13 Typical High $93.33 | Professional | AS · PA/NP assist | $61.66 | $74.13 | $93.33 |
CareFirst Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $5,623.41 | Professional | None | $457.09 | $501.19 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,897.79 Typical High $9,772.37 | Facility | None | $512.86 | $4,897.79 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $831.76 | Professional | None | $446.68 | $549.54 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $630.96 | Professional | None | $426.58 | $512.86 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $891.25 | Professional | None | $707.95 | $891.25 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $691.83 Typical High $891.25 | Facility | None | $537.03 | $691.83 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Sentara Setting Facility Modifier None Typical Low $478.63 Median $1,778.28 Typical High $10,232.93 | Facility | None | $478.63 | $1,778.28 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $7,413.10 | Professional | None | $478.63 | $630.96 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $977.24 | Professional | None | $398.11 | $645.65 | $977.24 |
5 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 $257.04 Median $269.15 Typical High $275.42 | Professional | 52 · Reduced service | $257.04 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $109.65 | Professional | 53 · Discontinued | $102.33 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $407.38 Typical High $416.87 | Professional | 54 · Surgery only | $389.05 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $81.28 Typical High $83.18 | Professional | 55 · Aftercare only | $77.62 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $53.70 Typical High $54.95 | Professional | 56 · Pre-op care only | $51.29 | $53.70 | $54.95 |
Where Virginia sits
The same service costs 3.9 times more in Alaska than in New York. 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· 46th of 51
$550
AK $1,905NY $490
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.