How much rates vary
Facilitymedian $5,370 · 10th to 90th $933 to $19,953Professionalmedian $1,175 · 10th to 90th $977 to $1,479
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 $1,258.93 Median $5,495.41 Typical High $15,488.17 | Facility | None | $1,258.93 | $5,495.41 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,258.93 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $12,589.25 Typical High $23,442.29 | Facility | None | $5,248.07 | $12,589.25 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,202.26 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $741.31 Typical High $912.01 | Professional | 62 · Two surgeons | $645.65 | $741.31 | $912.01 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $190.55 Typical High $229.09 | Professional | 80 · Assistant surgeon | $162.18 | $190.55 | $229.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $165.96 Typical High $199.53 | Professional | AS · PA/NP assist | $141.25 | $165.96 | $199.53 |
CareFirst Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,174.90 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $5,495.41 | Facility | None | $501.19 | $794.33 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,122.02 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,778.28 | Professional | None | $977.24 | $1,122.02 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,348.96 | $1,698.24 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,258.93 | $1,412.54 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,513.56 | Professional | None | $776.25 | $776.25 | $1,513.56 |
Sentara Setting Facility Modifier None Typical Low $933.25 Median $1,778.28 Typical High $7,413.10 | Facility | None | $933.25 | $1,778.28 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,819.70 | Professional | None | $1,000.00 | $1,230.27 | $1,819.70 |
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 $812.83 Median $1,047.13 Typical High $1,819.70 | Professional | None | $812.83 | $1,047.13 | $1,819.70 |
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 $870.96 Median $870.96 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $891.25 |
Where Virginia sits
The same service costs 15.9 times more in Maine than in Maryland. 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
ME $27,116MD $1,710
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.