How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,230 to $11,220Professionalmedian $2,692 · 10th to 90th $2,138 to $4,266
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 $2,818.38 Typical High $4,365.16 | Professional | None | $2,630.27 | $2,818.38 | $4,365.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $7,413.10 Typical High $12,589.25 | Facility | None | $2,818.38 | $7,413.10 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $3,235.94 | Professional | None | $2,137.96 | $2,570.40 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,621.81 Typical High $2,041.74 | Professional | 62 · Two surgeons | $1,348.96 | $1,621.81 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $407.38 Typical High $512.86 | Professional | 80 · Assistant surgeon | $338.84 | $407.38 | $512.86 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $354.81 Typical High $446.68 | Professional | AS · PA/NP assist | $295.12 | $354.81 | $446.68 |
CareFirst Setting Professional Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,754.23 | $3,388.44 |
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 $2,137.96 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,951.21 | $4,073.80 |
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 Professional Modifier None Typical Low $3,548.13 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,548.13 | $4,466.84 | $4,466.84 |
Medcost Setting Facility Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $4,265.80 | Facility | None | $2,630.27 | $3,548.13 | $4,265.80 |
Medcost Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Sentara Setting Facility Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $9,332.54 | Facility | None | $1,584.89 | $2,691.53 | $9,332.54 |
Sentara Setting Professional Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $6,309.57 | Professional | None | $2,137.96 | $3,090.30 | $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 $5,011.87 | Professional | None | $2,137.96 | $3,388.44 | $5,011.87 |
2 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 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 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $1,995.26 |
Where Virginia sits
The same service costs 6.5 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· 34th of 51
$2,754
AK $9,120TX $1,413
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.