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 $2,951.21 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,951.21 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $4,365.16 | Professional | None | $2,754.23 | $2,951.21 | $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 $2,238.72 Median $2,630.27 Typical High $3,311.31 | Professional | None | $2,238.72 | $2,630.27 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,659.59 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,380.38 | $1,659.59 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $426.58 Typical High $537.03 | Professional | 80 · Assistant surgeon | $354.81 | $426.58 | $537.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | AS · PA/NP assist | $309.03 | $371.54 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $3,311.31 | Professional | None | $2,398.83 | $2,691.53 | $3,311.31 |
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 $2,238.72 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,238.72 | $2,951.21 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,137.96 | $2,570.40 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $3,467.37 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,467.37 | $4,365.16 | $4,365.16 |
Medcost Setting Facility Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $4,466.84 | Facility | None | $2,754.23 | $3,311.31 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Sentara Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $9,120.11 | Facility | None | $1,548.82 | $2,454.71 | $9,120.11 |
Sentara Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $6,309.57 | Professional | None | $2,187.76 | $3,162.28 | $6,309.57 |
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 $2,137.96 Median $3,388.44 Typical High $5,128.61 | Professional | None | $2,137.96 | $3,388.44 | $5,128.61 |
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 $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $2,089.30 |
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· 33rd of 51
$2,818
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.