How much rates vary
Facilitymedian $3,802 · 10th to 90th $646 to $10,000Professionalmedian $724 · 10th to 90th $603 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 $794.33 Median $5,495.41 Typical High $14,125.38 | Facility | None | $794.33 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $794.33 | Professional | None | $741.31 | $776.25 | $794.33 |
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 $630.96 Median $741.31 Typical High $891.25 | Professional | None | $630.96 | $741.31 | $891.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $467.74 Typical High $562.34 | Professional | 62 · Two surgeons | $389.05 | $467.74 | $562.34 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $117.49 Typical High $141.25 | Professional | 80 · Assistant surgeon | $100.00 | $117.49 | $141.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $102.33 Typical High $125.89 | Professional | AS · PA/NP assist | $87.10 | $102.33 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $851.14 | Professional | None | $676.08 | $741.31 | $851.14 |
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 $588.84 Median $707.95 Typical High $954.99 | Professional | None | $588.84 | $707.95 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,000.00 | Professional | None | $630.96 | $741.31 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $954.99 | Professional | None | $776.25 | $954.99 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $812.83 Typical High $1,202.26 | Facility | None | $741.31 | $812.83 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,047.13 | Professional | None | $645.65 | $724.44 | $1,047.13 |
Sentara Setting Facility Modifier None Typical Low $575.44 Median $1,548.82 Typical High $5,623.41 | Facility | None | $575.44 | $1,548.82 | $5,623.41 |
Sentara Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,096.48 | Professional | None | $602.56 | $676.08 | $1,096.48 |
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 $478.63 Median $630.96 Typical High $1,047.13 | Professional | None | $478.63 | $630.96 | $1,047.13 |
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 $371.54 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | 54 · Surgery only | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $562.34 |
Where Virginia sits
The same service costs 5.4 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
$741
AK $2,512TX $468
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.