How much rates vary
Facilitymedian $2,570 · 10th to 90th $537 to $10,233Professionalmedian $2,239 · 10th to 90th $1,778 to $3,467
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 $2,398.83 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,398.83 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,235.94 | Professional | None | $2,187.76 | $2,187.76 | $3,235.94 |
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 $1,778.28 Median $2,137.96 Typical High $2,691.53 | Professional | None | $1,778.28 | $2,137.96 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,348.96 Typical High $1,698.24 | Professional | 62 · Two surgeons | $1,122.02 | $1,348.96 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $346.74 Typical High $436.52 | Professional | 80 · Assistant surgeon | $288.40 | $346.74 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $302.00 Typical High $380.19 | Professional | AS · PA/NP assist | $251.19 | $302.00 | $380.19 |
CareFirst Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,238.72 | $2,818.38 |
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 $1,819.70 Median $2,511.89 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,511.89 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,737.80 | $2,089.30 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,818.38 | $3,548.13 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,630.78 | Facility | None | $2,187.76 | $2,818.38 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Sentara Setting Facility Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $7,413.10 | Facility | None | $1,288.25 | $2,290.87 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $5,495.41 | Professional | None | $1,862.09 | $2,630.27 | $5,495.41 |
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 $1,737.80 Median $2,754.23 Typical High $3,981.07 | Professional | None | $1,737.80 | $2,754.23 | $3,981.07 |
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 $1,096.48 Median $1,096.48 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $478.63 | Professional | 53 · Discontinued | $446.68 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,698.24 |
Where Virginia sits
The same service costs 5.8 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
$2,239
AK $7,762TX $1,349
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.