How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,175 to $16,982Professionalmedian $1,230 · 10th to 90th $1,023 to $1,514
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 $1,318.26 Median $7,762.47 Typical High $16,595.87 | Facility | None | $1,318.26 | $7,762.47 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,318.26 | Professional | None | $1,258.93 | $1,288.25 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,244.36 | $10,232.93 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,258.93 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $776.25 Typical High $933.25 | Professional | 62 · Two surgeons | $660.69 | $776.25 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $199.53 Typical High $239.88 | Professional | 80 · Assistant surgeon | $169.82 | $199.53 | $239.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $173.78 Typical High $208.93 | Professional | AS · PA/NP assist | $147.91 | $173.78 | $208.93 |
CareFirst Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,230.27 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $6,456.54 Typical High $12,589.25 | Facility | None | $512.86 | $6,456.54 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,174.90 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,174.90 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,380.38 | $1,737.80 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,258.93 | $1,412.54 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,348.96 | $1,513.56 | $1,621.81 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $2,630.27 Typical High $12,589.25 | Facility | None | $933.25 | $2,630.27 | $12,589.25 |
Sentara Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,202.26 | $1,862.09 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,630.27 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,862.09 | Professional | None | $831.76 | $1,071.52 | $1,862.09 |
1 more rate 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 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $933.25 |
Where Virginia sits
The same service costs 6.5 times more in Alaska than in West Virginia. 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.
Physician feeFacility fee
AK $17,292WV $2,643
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.