How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,023 to $13,490Professionalmedian $1,023 · 10th to 90th $871 to $1,318
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 $6,165.95 Typical High $11,481.54 | Facility | None | $1,148.15 | $6,165.95 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,148.15 | Professional | None | $1,122.02 | $1,122.02 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,288.25 | Professional | None | $912.01 | $1,047.13 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $169.82 Typical High $204.17 | Professional | 80 · Assistant surgeon | $144.54 | $169.82 | $204.17 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | AS · PA/NP assist | $125.89 | $147.91 | $177.83 |
CareFirst Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,148.15 | Professional | None | $912.01 | $1,000.00 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,659.59 Typical High $3,311.31 | Facility | None | $724.44 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,380.38 | Professional | None | $870.96 | $1,023.29 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,479.11 | Professional | None | $831.76 | $954.99 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,819.70 | Facility | None | $1,122.02 | $1,258.93 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,995.26 | Professional | None | $954.99 | $1,023.29 | $1,995.26 |
Sentara Setting Facility Modifier None Typical Low $851.14 Median $2,454.71 Typical High $10,232.93 | Facility | None | $851.14 | $2,454.71 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,584.89 | Professional | None | $933.25 | $1,047.13 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,584.89 | Professional | None | $724.44 | $933.25 | $1,584.89 |
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 $562.34 Median $562.34 Typical High $575.44 | Professional | 52 · Reduced service | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | 53 · Discontinued | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | 54 · Surgery only | $831.76 | $831.76 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $794.33 |
Where Virginia sits
The same service costs 6.2 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
$1,047
AK $3,802TX $617
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.