How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,445 to $15,488Professionalmedian $1,413 · 10th to 90th $1,122 to $2,455
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 $1,513.56 Median $5,888.44 Typical High $14,125.38 | Facility | None | $1,513.56 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $5,370.32 | Professional | None | $1,380.38 | $1,513.56 | $5,370.32 |
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 $1,122.02 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,348.96 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $2,041.74 Typical High $2,570.40 | Professional | 50 · Both sides | $1,698.24 | $2,041.74 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $851.14 Typical High $1,071.52 | Professional | 62 · Two surgeons | $707.95 | $851.14 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $218.78 Typical High $275.42 | Professional | 80 · Assistant surgeon | $181.97 | $218.78 | $275.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $190.55 Typical High $234.42 | Professional | AS · PA/NP assist | $158.49 | $190.55 | $234.42 |
CareFirst Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $7,943.28 | Professional | None | $1,230.27 | $1,348.96 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $3,235.94 Typical High $6,760.83 | Facility | None | $1,318.26 | $3,235.94 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,122.02 | $1,584.89 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,288.25 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,454.71 | $2,454.71 |
Medcost Setting Facility Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,290.87 | Facility | None | $1,380.38 | $1,819.70 | $2,290.87 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Sentara Setting Facility Modifier None Typical Low $954.99 Median $3,019.95 Typical High $10,715.19 | Facility | None | $954.99 | $3,019.95 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $10,232.93 | Professional | None | $1,288.25 | $1,698.24 | $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 $1,122.02 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,778.28 | $2,691.53 |
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 $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,047.13 |
Where Virginia sits
The same service costs 5.4 times more in Wisconsin 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· 45th of 51
$1,549
WI $5,248TX $977
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.