How much rates vary
Facilitymedian $5,623 · 10th to 90th $851 to $14,791Professionalmedian $759 · 10th to 90th $646 to $977
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 $831.76 Median $7,079.46 Typical High $15,488.17 | Facility | None | $831.76 | $7,079.46 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | None | $812.83 | $812.83 | $831.76 |
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 $660.69 Median $776.25 Typical High $933.25 | Professional | None | $660.69 | $776.25 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $123.03 Typical High $147.91 | Professional | 80 · Assistant surgeon | $104.71 | $123.03 | $147.91 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $107.15 Typical High $131.83 | Professional | AS · PA/NP assist | $93.33 | $107.15 | $131.83 |
CareFirst Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $870.96 | Professional | None | $660.69 | $741.31 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,019.95 Typical High $5,754.40 | Facility | None | $1,000.00 | $3,019.95 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,047.13 | Professional | None | $630.96 | $741.31 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,174.90 | Professional | None | $630.96 | $724.44 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,202.26 | Professional | None | $912.01 | $1,202.26 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $1,318.26 | Facility | None | $812.83 | $912.01 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,513.56 | Professional | None | $851.14 | $891.25 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $10,232.93 | Facility | None | $691.83 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,202.26 | Professional | None | $707.95 | $776.25 | $1,202.26 |
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 $549.54 Median $691.83 Typical High $1,202.26 | Professional | None | $549.54 | $691.83 | $1,202.26 |
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 $407.38 Median $407.38 Typical High $416.87 | Professional | 52 · Reduced service | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 53 · Discontinued | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | 54 · Surgery only | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $588.84 |
Where Virginia sits
The same service costs 6.3 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· 36th of 51
$759
AK $2,884TX $457
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.