How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,413 to $21,380Professionalmedian $1,259 · 10th to 90th $1,023 to $1,698
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 $3,981.07 Typical High $15,488.17 | Facility | None | $1,288.25 | $3,981.07 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,288.25 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $12,589.25 Typical High $23,442.29 | Facility | None | $5,248.07 | $12,589.25 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,230.27 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $199.53 Typical High $234.42 | Professional | 80 · Assistant surgeon | $165.96 | $199.53 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $173.78 Typical High $204.17 | Professional | AS · PA/NP assist | $144.54 | $173.78 | $204.17 |
CareFirst Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,318.26 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $16,595.87 | Facility | None | $501.19 | $794.33 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,148.15 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,778.28 | Professional | None | $954.99 | $1,071.52 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,698.24 | $2,238.72 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,041.74 | Facility | None | $1,258.93 | $1,819.70 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,621.81 | $1,659.59 | $1,995.26 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $2,570.40 Typical High $10,715.19 | Facility | None | $933.25 | $2,570.40 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,412.54 | $2,187.76 |
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 $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 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.