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 $398.11 Median $4,365.16 Typical High $14,125.38 | Facility | None | $398.11 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $446.68 | Professional | None | $371.54 | $398.11 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $446.68 | Professional | None | $316.23 | $371.54 | $446.68 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $194.98 Median $234.42 Typical High $281.84 | Professional | 62 · Two surgeons | $194.98 | $234.42 | $281.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $58.88 Typical High $70.79 | Professional | 80 · Assistant surgeon | $50.12 | $58.88 | $70.79 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $51.29 Typical High $61.66 | Professional | AS · PA/NP assist | $43.65 | $51.29 | $61.66 |
CareFirst Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $416.87 | Professional | None | $316.23 | $354.81 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,174.90 Typical High $2,187.76 | Facility | None | $346.74 | $1,174.90 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $489.78 | Professional | None | $302.00 | $354.81 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $549.54 | Professional | None | $323.59 | $371.54 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $478.63 | Professional | None | $371.54 | $457.09 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $398.11 Typical High $602.56 | Facility | None | $371.54 | $398.11 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $416.87 | Professional | None | $218.78 | $218.78 | $416.87 |
Sentara Setting Facility Modifier None Typical Low $275.42 Median $1,071.52 Typical High $5,011.87 | Facility | None | $275.42 | $1,071.52 | $5,011.87 |
Sentara Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $549.54 | Professional | None | $275.42 | $354.81 | $549.54 |
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 $239.88 Median $316.23 Typical High $537.03 | Professional | None | $239.88 | $316.23 | $537.03 |
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 $257.04 Median $257.04 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $275.42 |
Where Virginia sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 32nd of 51
$363
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.