How much rates vary
Facilitymedian $2,951 · 10th to 90th $537 to $10,233Professionalmedian $3,090 · 10th to 90th $2,455 to $4,898
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 $3,235.94 Median $5,495.41 Typical High $14,125.38 | Facility | None | $3,235.94 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,235.94 Typical High $4,365.16 | Professional | None | $3,019.95 | $3,235.94 | $4,365.16 |
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 $2,511.89 Median $3,019.95 Typical High $3,801.89 | Professional | None | $2,511.89 | $3,019.95 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $1,905.46 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,584.89 | $1,905.46 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $478.63 Typical High $616.60 | Professional | 80 · Assistant surgeon | $407.38 | $478.63 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $426.58 Typical High $537.03 | Professional | AS · PA/NP assist | $354.81 | $426.58 | $537.03 |
CareFirst Setting Professional Modifier None Typical Low $2,884.03 Median $3,162.28 Typical High $3,981.07 | Professional | None | $2,884.03 | $3,162.28 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,495.41 | Facility | None | $501.19 | $1,174.90 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $4,786.30 | Professional | None | $2,570.40 | $3,162.28 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,630.78 | Professional | None | $2,454.71 | $2,951.21 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,398.83 | $3,388.44 | $3,388.44 |
Medcost Setting Facility Modifier None Typical Low $3,090.30 Median $3,715.35 Typical High $5,128.61 | Facility | None | $3,090.30 | $3,715.35 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Sentara Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $10,232.93 | Facility | None | $1,621.81 | $2,630.27 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,995.26 Median $3,548.13 Typical High $7,244.36 | Professional | None | $1,995.26 | $3,548.13 | $7,244.36 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $5,623.41 | Professional | None | $2,290.87 | $3,548.13 | $5,623.41 |
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 $1,548.82 Median $1,548.82 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,548.82 | $1,548.82 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | 53 · Discontinued | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | 56 · Pre-op care only | $309.03 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,344.23 |
Where Virginia sits
The same service costs 6.9 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $22,987WA $3,314
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.