How much rates vary
Facilitymedian $1,820 · 10th to 90th $525 to $5,888Professionalmedian $661 · 10th to 90th $537 to $813
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 $5,495.41 Typical High $14,125.38 | Facility | None | $724.44 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $724.44 | Professional | None | $676.08 | $707.95 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,698.24 | $2,398.83 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $812.83 | Professional | None | $562.34 | $676.08 | $812.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $354.81 Median $426.58 Typical High $512.86 | Professional | 62 · Two surgeons | $354.81 | $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 $93.33 Typical High $114.82 | Professional | AS · PA/NP assist | $79.43 | $93.33 | $114.82 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $776.25 | Professional | None | $602.56 | $676.08 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $2,691.53 | Facility | None | $489.78 | $645.65 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $891.25 | Professional | None | $549.54 | $645.65 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $954.99 | Professional | None | $575.44 | $660.69 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $870.96 | Professional | None | $691.83 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,096.48 | Facility | None | $676.08 | $741.31 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $1,047.13 | Professional | None | $645.65 | $676.08 | $1,047.13 |
Sentara Setting Facility Modifier None Typical Low $489.78 Median $1,148.15 Typical High $3,630.78 | Facility | None | $489.78 | $1,148.15 | $3,630.78 |
Sentara Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,000.00 | Professional | None | $489.78 | $645.65 | $1,000.00 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $5,888.44 | Facility | None | $588.84 | $2,187.76 | $5,888.44 |
United Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $977.24 | Professional | None | $446.68 | $575.44 | $977.24 |
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 $338.84 Median $338.84 Typical High $363.08 | Professional | 52 · Reduced service | $338.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | 53 · Discontinued | $134.90 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $537.03 | Professional | 54 · Surgery only | $512.86 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $501.19 |
Where Virginia sits
The same service costs 5.0 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 $2,138TX $427
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.