How much rates vary
Facilitymedian $3,715 · 10th to 90th $955 to $10,965Professionalmedian $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 $1,288.25 Median $4,786.30 Typical High $10,000.00 | Facility | None | $1,288.25 | $4,786.30 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,288.25 | Professional | None | $1,230.27 | $1,230.27 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
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 $758.58 Typical High $912.01 | Professional | 62 · Two surgeons | $645.65 | $758.58 | $912.01 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $190.55 Typical High $234.42 | Professional | 80 · Assistant surgeon | $162.18 | $190.55 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $169.82 Typical High $204.17 | Professional | AS · PA/NP assist | $141.25 | $169.82 | $204.17 |
CareFirst Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,148.15 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,479.11 Typical High $2,691.53 | Facility | None | $478.63 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,621.81 | Professional | None | $977.24 | $1,148.15 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,023.29 | $1,148.15 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,479.11 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $2,041.74 | Facility | None | $1,230.27 | $1,380.38 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,412.54 | Professional | None | $933.25 | $1,047.13 | $1,412.54 |
Sentara Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $10,232.93 | Facility | None | $851.14 | $2,238.72 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,819.70 | Professional | None | $891.25 | $1,202.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,778.28 | Professional | None | $794.33 | $1,023.29 | $1,778.28 |
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 $616.60 Median $616.60 Typical High $645.65 | Professional | 52 · Reduced service | $616.60 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | 53 · Discontinued | $245.47 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $954.99 | Professional | 54 · Surgery only | $933.25 | $933.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $128.82 |
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 5.2 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· 33rd of 51
$1,175
AK $3,981TX $759
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.