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 $1,318.26 Median $5,370.32 Typical High $14,125.38 | Facility | None | $1,318.26 | $5,370.32 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,258.93 | $1,258.93 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $6,456.54 Typical High $10,964.78 | Facility | None | $2,454.71 | $6,456.54 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,230.27 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $758.58 Typical High $933.25 | Professional | 62 · Two surgeons | $660.69 | $758.58 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $194.98 Typical High $234.42 | Professional | 80 · Assistant surgeon | $165.96 | $194.98 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $169.82 Typical High $204.17 | Professional | AS · PA/NP assist | $144.54 | $169.82 | $204.17 |
CareFirst Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,230.27 | $1,412.54 |
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 $1,000.00 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,174.90 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,174.90 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $2,041.74 | Facility | None | $1,258.93 | $1,380.38 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,445.44 | Professional | None | $758.58 | $758.58 | $1,445.44 |
Sentara Setting Facility Modifier None Typical Low $912.01 Median $1,778.28 Typical High $5,754.40 | Facility | None | $912.01 | $1,778.28 | $5,754.40 |
Sentara Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,778.28 | Professional | None | $954.99 | $1,202.26 | $1,778.28 |
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 $1,778.28 | Professional | None | $812.83 | $1,047.13 | $1,778.28 |
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 $912.01 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $912.01 |
Where Virginia sits
The same service costs 5.8 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· 34th of 51
$1,230
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.