How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,230 to $12,303Professionalmedian $2,399 · 10th to 90th $1,995 to $3,020
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 $2,630.27 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,630.27 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,570.40 | $2,570.40 | $2,630.27 |
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 $2,089.30 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,454.71 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,548.82 Typical High $1,862.09 | Professional | 62 · Two surgeons | $1,318.26 | $1,548.82 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $389.05 Typical High $467.74 | Professional | 80 · Assistant surgeon | $331.13 | $389.05 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $338.84 Typical High $416.87 | Professional | AS · PA/NP assist | $295.12 | $338.84 | $416.87 |
CareFirst Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,398.83 | $2,818.38 |
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 $2,041.74 Median $2,344.23 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,344.23 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,995.26 | $2,290.87 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,715.35 | $3,715.35 |
Medcost Setting Facility Modifier None Typical Low $2,570.40 Median $2,818.38 Typical High $4,168.69 | Facility | None | $2,570.40 | $2,818.38 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,995.26 | $1,995.26 | $3,019.95 |
Sentara Setting Facility Modifier None Typical Low $1,380.38 Median $2,570.40 Typical High $8,317.64 | Facility | None | $1,380.38 | $2,570.40 | $8,317.64 |
Sentara Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $3,548.13 | Professional | None | $2,238.72 | $2,454.71 | $3,548.13 |
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 $1,659.59 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,659.59 | $2,137.96 | $3,630.78 |
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 $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,819.70 |
Where Virginia sits
The same service costs 21.9 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· 36th of 51
$2,399
AK $7,586TX $347
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.