How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,175 to $19,953Professionalmedian $1,778 · 10th to 90th $1,514 to $2,239
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 $1,905.46 Median $5,370.32 Typical High $14,125.38 | Facility | None | $1,905.46 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,862.09 | $1,905.46 | $2,290.87 |
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 $1,548.82 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,548.82 | $1,819.70 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,122.02 Typical High $1,380.38 | Professional | 62 · Two surgeons | $977.24 | $1,122.02 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $288.40 Typical High $346.74 | Professional | 80 · Assistant surgeon | $245.47 | $288.40 | $346.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $251.19 Typical High $302.00 | Professional | AS · PA/NP assist | $213.80 | $251.19 | $302.00 |
CareFirst Setting Professional Modifier None Typical Low $1,584.89 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,584.89 | $1,778.28 | $2,041.74 |
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 $1,513.56 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,513.56 | $1,698.24 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,445.44 | $1,659.59 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,137.96 | $2,630.27 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $3,090.30 | Facility | None | $1,862.09 | $2,187.76 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,202.26 | $2,344.23 |
Sentara Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $8,709.64 | Facility | None | $1,288.25 | $2,137.96 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,513.56 | $1,862.09 | $2,630.27 |
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 $1,230.27 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,230.27 | $1,584.89 | $2,754.23 |
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 $1,318.26 Median $1,318.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,348.96 |
Where Virginia sits
The same service costs 12.4 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 $28,441MD $2,300
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.