How much rates vary
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 $2,137.96 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,137.96 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,949.84 | $2,041.74 | $2,818.38 |
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 $1,584.89 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,905.46 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,174.90 Typical High $1,513.56 | Professional | 62 · Two surgeons | $1,000.00 | $1,174.90 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $302.00 Typical High $380.19 | Professional | 80 · Assistant surgeon | $251.19 | $302.00 | $380.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $218.78 Median $263.03 Typical High $331.13 | Professional | AS · PA/NP assist | $218.78 | $263.03 | $331.13 |
CareFirst Setting Professional Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,698.24 | $1,905.46 | $2,398.83 |
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 $1,584.89 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,584.89 | $2,137.96 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,513.56 | $1,819.70 | $2,238.72 |
Medcost Setting Professional Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,570.40 | $3,162.28 | $3,162.28 |
Medcost Setting Facility Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $3,162.28 | Facility | None | $1,949.84 | $2,511.89 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Sentara Setting Facility Modifier None Typical Low $1,230.27 Median $2,089.30 Typical High $7,413.10 | Facility | None | $1,230.27 | $2,089.30 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $5,495.41 | Professional | None | $1,659.59 | $2,290.87 | $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 $1,548.82 Median $2,511.89 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,511.89 | $3,801.89 |
1 more rate 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 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,479.11 |
Where Virginia sits
The same service costs 5.6 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
$1,995
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.