How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,072 to $15,488Professionalmedian $1,072 · 10th to 90th $851 to $1,862
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 $1,148.15 Median $7,079.46 Typical High $14,125.38 | Facility | None | $1,148.15 | $7,079.46 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $6,165.95 | Professional | None | $1,071.52 | $1,148.15 | $6,165.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,413.10 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,288.25 | Professional | None | $851.14 | $1,023.29 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,548.82 Typical High $1,949.84 | Professional | 50 · Both sides | $1,288.25 | $1,548.82 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $645.65 Typical High $812.83 | Professional | 62 · Two surgeons | $537.03 | $645.65 | $812.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | 80 · Assistant surgeon | $138.04 | $165.96 | $208.93 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $144.54 Typical High $181.97 | Professional | AS · PA/NP assist | $120.23 | $144.54 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $7,943.28 | Professional | None | $933.25 | $1,023.29 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,090.30 Typical High $6,025.60 | Facility | None | $512.86 | $3,090.30 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,621.81 | Professional | None | $870.96 | $1,174.90 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,202.26 | Professional | None | $794.33 | $954.99 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,737.80 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,737.80 | Facility | None | $1,071.52 | $1,348.96 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $851.14 Median $2,454.71 Typical High $10,715.19 | Facility | None | $851.14 | $2,454.71 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $10,232.93 | Professional | None | $870.96 | $1,258.93 | $10,232.93 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,041.74 | Professional | None | $831.76 | $1,348.96 | $2,041.74 |
6 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 $537.03 Median $537.03 Typical High $575.44 | Professional | 52 · Reduced service | $537.03 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | 53 · Discontinued | $213.80 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $794.33 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $812.83 |
Where Virginia sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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 $11,128KY $2,365
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.