How much rates vary
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 $1,288.25 Median $5,495.41 Typical High $14,125.38 | Facility | None | $1,288.25 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | None | $1,258.93 | $1,258.93 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $12,589.25 | Facility | None | $8,511.38 | $11,220.18 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,230.27 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $194.98 Typical High $234.42 | Professional | 80 · Assistant surgeon | $165.96 | $194.98 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $169.82 Typical High $204.17 | Professional | AS · PA/NP assist | $144.54 | $169.82 | $204.17 |
CareFirst Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,202.26 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $5,495.41 | Facility | None | $501.19 | $794.33 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,148.15 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,148.15 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,862.09 | $2,344.23 | $2,344.23 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,089.30 | Facility | None | $1,258.93 | $1,698.24 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,318.26 | $1,318.26 | $1,584.89 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $1,737.80 Typical High $5,495.41 | Facility | None | $933.25 | $1,737.80 | $5,495.41 |
Sentara Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,318.26 | $1,862.09 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $2,089.30 | Professional | None | $933.25 | $1,148.15 | $2,089.30 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Where Virginia sits
The same service costs 5.4 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· 38th of 51
$1,230
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.