How much rates vary
Facilitymedian $3,981 · 10th to 90th $708 to $13,490Professionalmedian $661 · 10th to 90th $562 to $851
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 $5,623.41 Typical High $10,964.78 | Facility | None | $724.44 | $5,623.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $724.44 | Professional | None | $691.83 | $707.95 | $724.44 |
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 $575.44 Median $676.08 Typical High $812.83 | Professional | None | $575.44 | $676.08 | $812.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $363.08 Median $426.58 Typical High $512.86 | Professional | 62 · Two surgeons | $363.08 | $426.58 | $512.86 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $107.15 Typical High $128.82 | Professional | 80 · Assistant surgeon | $91.20 | $107.15 | $128.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $95.50 Typical High $112.20 | Professional | AS · PA/NP assist | $79.43 | $95.50 | $112.20 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $758.58 | Professional | None | $575.44 | $630.96 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,584.89 Typical High $3,090.30 | Facility | None | $645.65 | $1,584.89 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $912.01 | Professional | None | $575.44 | $645.65 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $1,023.29 | Professional | None | $524.81 | $602.56 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,023.29 | Professional | None | $776.25 | $1,023.29 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $1,148.15 | Facility | None | $691.83 | $831.76 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,258.93 | Professional | None | $758.58 | $851.14 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $10,232.93 | Facility | None | $588.84 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $1,047.13 | Professional | None | $602.56 | $707.95 | $1,047.13 |
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 $489.78 Median $588.84 Typical High $1,071.52 | Professional | None | $489.78 | $588.84 | $1,071.52 |
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 $346.74 Median $346.74 Typical High $363.08 | Professional | 52 · Reduced service | $346.74 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | 53 · Discontinued | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | 54 · Surgery only | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $501.19 |
Where Virginia sits
The same service costs 6.5 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· 35th of 51
$676
AK $2,455TX $380
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.