How much rates vary
Facilitymedian $2,630 · 10th to 90th $537 to $10,233Professionalmedian $2,455 · 10th to 90th $1,950 to $3,715
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 $2,570.40 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,570.40 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $3,311.31 | Professional | None | $2,398.83 | $2,511.89 | $3,311.31 |
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 $1,949.84 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,949.84 | $2,290.87 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,445.44 Typical High $1,819.70 | Professional | 62 · Two surgeons | $1,202.26 | $1,445.44 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | 80 · Assistant surgeon | $309.03 | $371.54 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $323.59 Typical High $407.38 | Professional | AS · PA/NP assist | $269.15 | $323.59 | $407.38 |
CareFirst Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,454.71 | $3,019.95 |
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 $1,949.84 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,630.27 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,862.09 | $2,238.72 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,311.31 | $4,073.80 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,890.45 | Facility | None | $2,398.83 | $3,019.95 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Sentara Setting Facility Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $9,549.93 | Facility | None | $1,479.11 | $2,454.71 | $9,549.93 |
Sentara Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $5,754.40 | Professional | None | $1,995.26 | $2,818.38 | $5,754.40 |
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 $1,862.09 Median $3,019.95 Typical High $4,570.88 | Professional | None | $1,862.09 | $3,019.95 | $4,570.88 |
2 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 $1,778.28 Median $1,778.28 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,819.70 |
Where Virginia sits
The same service costs 5.2 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· 34th of 51
$2,455
AK $8,318TX $1,585
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.