How much rates vary
Facilitymedian $6,457 · 10th to 90th $759 to $15,849Professionalmedian $708 · 10th to 90th $589 to $891
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 $758.58 Median $7,413.10 Typical High $15,488.17 | Facility | None | $758.58 | $7,413.10 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $870.96 | Professional | None | $741.31 | $758.58 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $12,589.25 | Facility | None | $8,511.38 | $11,220.18 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $870.96 | Professional | None | $602.56 | $724.44 | $870.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $380.19 Median $446.68 Typical High $549.54 | Professional | 62 · Two surgeons | $380.19 | $446.68 | $549.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | 80 · Assistant surgeon | $95.50 | $114.82 | $138.04 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | AS · PA/NP assist | $85.11 | $100.00 | $120.23 |
CareFirst Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $831.76 | Professional | None | $645.65 | $707.95 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,090.30 Typical High $5,754.40 | Facility | None | $707.95 | $3,090.30 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $954.99 | Professional | None | $602.56 | $691.83 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,071.52 | Professional | None | $602.56 | $691.83 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,023.29 | Professional | None | $831.76 | $1,023.29 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $831.76 Typical High $1,202.26 | Facility | None | $741.31 | $831.76 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $912.01 | Professional | None | $467.74 | $467.74 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $575.44 Median $2,454.71 Typical High $10,715.19 | Facility | None | $575.44 | $2,454.71 | $10,715.19 |
Sentara Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,096.48 | Professional | None | $602.56 | $724.44 | $1,096.48 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $25,118.86 | Facility | None | $2,570.40 | $10,000.00 | $25,118.86 |
United Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $1,071.52 | Professional | None | $478.63 | $616.60 | $1,071.52 |
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 $512.86 Median $512.86 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $537.03 |
Where Virginia sits
The same service costs 5.3 times more in Colorado than in Montana. 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
CO $11,104MT $2,095
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.