How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,148 to $10,000Professionalmedian $2,138 · 10th to 90th $1,738 to $2,630
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 $2,344.23 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,344.23 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,344.23 | Professional | None | $2,238.72 | $2,238.72 | $2,344.23 |
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 $1,819.70 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,819.70 | $2,187.76 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,380.38 Typical High $1,659.59 | Professional | 62 · Two surgeons | $1,148.15 | $1,380.38 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $346.74 Typical High $416.87 | Professional | 80 · Assistant surgeon | $295.12 | $346.74 | $416.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $302.00 Typical High $371.54 | Professional | AS · PA/NP assist | $257.04 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,511.89 | Professional | None | $1,949.84 | $2,187.76 | $2,511.89 |
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 $1,698.24 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,698.24 | $2,089.30 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,951.21 | Professional | None | $1,819.70 | $2,089.30 | $2,951.21 |
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 $2,238.72 Median $2,454.71 Typical High $3,630.78 | Facility | None | $2,238.72 | $2,454.71 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,659.59 | $1,778.28 | $2,344.23 |
Sentara Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $7,413.10 | Facility | None | $1,288.25 | $2,238.72 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,584.89 | $2,041.74 | $3,019.95 |
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 $1,412.54 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,412.54 | $1,819.70 | $3,090.30 |
6 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 52 · Reduced service Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $467.74 | Professional | 53 · Discontinued | $446.68 | $446.68 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,621.81 |
Where Virginia sits
The same service costs 5.0 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· 31st of 51
$2,138
AK $6,607TX $1,318
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.