How much rates vary
Facilitymedian $2,399 · 10th to 90th $537 to $10,233Professionalmedian $1,778 · 10th to 90th $1,413 to $2,754
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 $1,905.46 Median $5,495.41 Typical High $14,125.38 | Facility | None | $1,905.46 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $3,388.44 | Professional | None | $1,737.80 | $1,905.46 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $11,220.18 Typical High $17,378.01 | Facility | None | $8,912.51 | $11,220.18 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $2,137.96 | Professional | None | $1,412.54 | $1,698.24 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,071.52 Typical High $1,348.96 | Professional | 62 · Two surgeons | $891.25 | $1,071.52 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $269.15 Typical High $338.84 | Professional | 80 · Assistant surgeon | $223.87 | $269.15 | $338.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $234.42 Typical High $302.00 | Professional | AS · PA/NP assist | $199.53 | $234.42 | $302.00 |
CareFirst Setting Professional Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,238.72 | Professional | None | $1,621.81 | $1,778.28 | $2,238.72 |
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 $1,445.44 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,445.44 | $1,862.09 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,659.59 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,754.23 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $2,818.38 | Facility | None | $1,737.80 | $2,238.72 | $2,818.38 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Sentara Setting Facility Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $7,079.46 | Facility | None | $1,096.48 | $2,041.74 | $7,079.46 |
Sentara Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $5,623.41 | Professional | None | $1,479.11 | $2,041.74 | $5,623.41 |
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 $1,380.38 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,380.38 | $2,089.30 | $3,235.94 |
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 $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,318.26 |
Where Virginia sits
The same service costs 5.9 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· 36th of 51
$1,778
AK $6,166TX $1,047
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.