How much rates vary
Facilitymedian $4,169 · 10th to 90th $676 to $10,965Professionalmedian $676 · 10th to 90th $550 to $1,148
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 $724.44 Median $5,370.32 Typical High $14,125.38 | Facility | None | $724.44 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $4,570.88 | Professional | None | $645.65 | $724.44 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $7,244.36 | Facility | None | $4,677.35 | $6,456.54 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $812.83 | Professional | None | $537.03 | $645.65 | $812.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $954.99 Typical High $1,202.26 | Professional | 50 · Both sides | $812.83 | $954.99 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $338.84 Median $407.38 Typical High $512.86 | Professional | 62 · Two surgeons | $338.84 | $407.38 | $512.86 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $4,168.69 | Professional | None | $575.44 | $645.65 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,659.59 Typical High $3,090.30 | Facility | None | $524.81 | $1,659.59 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,071.52 | Professional | None | $549.54 | $776.25 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $741.31 | Professional | None | $501.19 | $602.56 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $1,071.52 | Facility | None | $645.65 | $891.25 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Sentara Setting Facility Modifier None Typical Low $588.84 Median $1,819.70 Typical High $10,232.93 | Facility | None | $588.84 | $1,819.70 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $8,511.38 | Professional | None | $602.56 | $851.14 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,288.25 | Professional | None | $524.81 | $891.25 | $1,288.25 |
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 $323.59 Median $323.59 Typical High $354.81 | Professional | 52 · Reduced service | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 53 · Discontinued | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $489.78 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $501.19 |
Where Virginia sits
The same service costs 5.9 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· 47th of 51
$741
AK $3,236TX $550
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.