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 $758.58 Median $5,495.41 Typical High $15,488.17 | Facility | None | $758.58 | $5,495.41 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | None | $676.08 | $676.08 | $758.58 |
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 $489.78 Median $575.44 Typical High $645.65 | Professional | None | $489.78 | $575.44 | $645.65 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $309.03 Median $363.08 Typical High $407.38 | Professional | 62 · Two surgeons | $309.03 | $363.08 | $407.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $93.33 Typical High $102.33 | Professional | 80 · Assistant surgeon | $79.43 | $93.33 | $102.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | AS · PA/NP assist | $69.18 | $81.28 | $89.13 |
CareFirst Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $316.23 | Professional | None | $245.47 | $275.42 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $5,128.61 Typical High $9,772.37 | Facility | None | $1,318.26 | $5,128.61 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $851.14 | Professional | None | $588.84 | $660.69 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $724.44 | Professional | None | $489.78 | $575.44 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,148.15 | Facility | None | $758.58 | $758.58 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $741.31 | Professional | None | $537.03 | $575.44 | $741.31 |
Sentara Setting Facility Modifier None Typical Low $478.63 Median $2,570.40 Typical High $10,232.93 | Facility | None | $478.63 | $2,570.40 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $1,047.13 | Professional | None | $331.13 | $562.34 | $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 $257.04 Median $457.09 Typical High $1,548.82 | Professional | None | $257.04 | $457.09 | $1,548.82 |
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 $512.86 Median $512.86 Typical High $562.34 | Professional | 54 · Surgery only | $512.86 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $524.81 |
Where Virginia sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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
$575
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.