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 $831.76 Median $5,495.41 Typical High $14,125.38 | Facility | None | $831.76 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | None | $812.83 | $812.83 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $7,413.10 Typical High $14,125.38 | Facility | None | $3,162.28 | $7,413.10 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $812.83 | Professional | None | $630.96 | $741.31 | $812.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $467.74 Typical High $512.86 | Professional | 62 · Two surgeons | $398.11 | $467.74 | $512.86 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $117.49 Typical High $131.83 | Professional | 80 · Assistant surgeon | $100.00 | $117.49 | $131.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $104.71 Typical High $114.82 | Professional | AS · PA/NP assist | $89.13 | $104.71 | $114.82 |
CareFirst Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | None | $208.93 | $208.93 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,495.41 | Facility | None | $501.19 | $1,174.90 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,047.13 | Professional | None | $676.08 | $758.58 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $933.25 | Professional | None | $630.96 | $724.44 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,230.27 | Facility | None | $812.83 | $812.83 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $912.01 | Professional | None | $363.08 | $398.11 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $691.83 Median $1,737.80 Typical High $6,456.54 | Facility | None | $691.83 | $1,737.80 | $6,456.54 |
Sentara Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,288.25 | Professional | None | $630.96 | $707.95 | $1,288.25 |
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 $489.78 Median $660.69 Typical High $1,412.54 | Professional | None | $489.78 | $660.69 | $1,412.54 |
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 $602.56 Median $602.56 Typical High $630.96 | Professional | 54 · Surgery only | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $588.84 |
Where Virginia sits
The same service costs 8.5 times more in Alaska 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.
Virginia· 39th of 51
$759
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.