How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,175 to $11,220Professionalmedian $2,291 · 10th to 90th $1,820 to $3,548
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 $2,398.83 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,398.83 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,344.23 | $3,235.94 |
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 $1,819.70 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,187.76 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,235.94 Typical High $4,073.80 | Professional | 50 · Both sides | $2,691.53 | $3,235.94 | $4,073.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,348.96 Typical High $1,737.80 | Professional | 62 · Two surgeons | $1,148.15 | $1,348.96 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $346.74 Typical High $436.52 | Professional | 80 · Assistant surgeon | $288.40 | $346.74 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $302.00 Typical High $380.19 | Professional | AS · PA/NP assist | $251.19 | $302.00 | $380.19 |
CareFirst Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,137.96 | $2,630.27 |
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 $1,819.70 Median $2,570.40 Typical High $3,548.13 | Professional | None | $1,819.70 | $2,570.40 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,698.24 | $2,041.74 | $2,511.89 |
Medcost Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,951.21 | $3,801.89 | $3,801.89 |
Medcost Setting Facility Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $3,715.35 | Facility | None | $2,238.72 | $2,951.21 | $3,715.35 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Sentara Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $9,332.54 | Facility | None | $1,445.44 | $2,290.87 | $9,332.54 |
Sentara Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $5,495.41 | Professional | None | $1,905.46 | $2,570.40 | $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 $1,819.70 Median $3,019.95 Typical High $4,466.84 | Professional | None | $1,819.70 | $3,019.95 | $4,466.84 |
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 $1,698.24 Median $1,698.24 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,698.24 |
Where Virginia sits
The same service costs 7.7 times more in Alabama than in Washington. 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
AL $19,737WA $2,562
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.