How much rates vary
Facilitymedian $3,311 · 10th to 90th $550 to $10,233Professionalmedian $3,981 · 10th to 90th $3,162 to $6,166
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 $3,801.89 Median $5,495.41 Typical High $14,125.38 | Facility | None | $3,801.89 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,981.07 Typical High $4,365.16 | Professional | None | $3,801.89 | $3,981.07 | $4,365.16 |
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 $3,162.28 Median $3,801.89 Typical High $4,786.30 | Professional | None | $3,162.28 | $3,801.89 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $616.60 Typical High $776.25 | Professional | 80 · Assistant surgeon | $512.86 | $616.60 | $776.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $446.68 Median $537.03 Typical High $676.08 | Professional | AS · PA/NP assist | $446.68 | $537.03 | $676.08 |
CareFirst Setting Professional Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $5,011.87 | Professional | None | $3,630.78 | $3,981.07 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $5,495.41 | Facility | None | $501.19 | $794.33 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $6,025.60 | Professional | None | $3,235.94 | $4,365.16 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $4,466.84 | Professional | None | $3,019.95 | $3,630.78 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $4,365.16 Median $5,370.32 Typical High $5,370.32 | Professional | None | $4,365.16 | $5,370.32 | $5,370.32 |
Medcost Setting Facility Modifier None Typical Low $3,981.07 Median $4,570.88 Typical High $6,456.54 | Facility | None | $3,981.07 | $4,570.88 | $6,456.54 |
Medcost Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Sentara Setting Facility Modifier None Typical Low $1,737.80 Median $3,801.89 Typical High $10,232.93 | Facility | None | $1,737.80 | $3,801.89 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $2,511.89 Median $4,570.88 Typical High $8,511.38 | Professional | None | $2,511.89 | $4,570.88 | $8,511.38 |
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 $3,090.30 Median $5,011.87 Typical High $7,762.47 | Professional | None | $3,090.30 | $5,011.87 | $7,762.47 |
4 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 $1,995.26 Median $1,995.26 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,995.26 | $1,995.26 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | 53 · Discontinued | $794.33 | $794.33 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $2,951.21 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,951.21 | $2,951.21 | $3,235.94 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $2,754.23 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,754.23 | $2,754.23 | $3,019.95 |
Where Virginia sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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· 35th of 51
$3,981
AK $13,804AR $1,820
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.