How much rates vary
Facilitymedian $2,754 · 10th to 90th $537 to $10,233Professionalmedian $2,630 · 10th to 90th $2,089 to $4,365
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 $2,818.38 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,818.38 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,630.27 | $2,754.23 | $3,715.35 |
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 $2,089.30 Median $2,511.89 Typical High $3,162.28 | Professional | None | $2,089.30 | $2,511.89 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $398.11 Typical High $501.19 | Professional | 80 · Assistant surgeon | $331.13 | $398.11 | $501.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $346.74 Typical High $436.52 | Professional | AS · PA/NP assist | $288.40 | $346.74 | $436.52 |
CareFirst Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,344.23 | $2,630.27 | $3,235.94 |
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 $2,089.30 Median $2,570.40 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,570.40 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $2,951.21 | Professional | None | $1,995.26 | $2,398.83 | $2,951.21 |
Medcost Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $4,265.80 | Facility | None | $2,630.27 | $2,630.27 | $4,265.80 |
Medcost Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Sentara Setting Facility Modifier None Typical Low $1,445.44 Median $2,630.27 Typical High $10,232.93 | Facility | None | $1,445.44 | $2,630.27 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $10,232.93 | Professional | None | $2,187.76 | $3,090.30 | $10,232.93 |
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 $3,890.45 Typical High $5,495.41 | Professional | None | $2,137.96 | $3,890.45 | $5,495.41 |
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 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,949.84 | $1,949.84 | $2,137.96 |
Where Virginia sits
The same service costs 6.6 times more in Alaska than in Maryland. 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.
Physician feeFacility fee
AK $20,935MD $3,193
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.