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 $676.08 Median $7,244.36 Typical High $15,848.93 | Facility | None | $676.08 | $7,244.36 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $588.84 | Professional | None | $467.74 | $478.63 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,511.38 Median $11,220.18 Typical High $12,589.25 | Facility | None | $8,511.38 | $11,220.18 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $549.54 | Professional | None | $389.05 | $446.68 | $549.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $245.47 Median $281.84 Typical High $346.74 | Professional | 62 · Two surgeons | $245.47 | $281.84 | $346.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $72.44 Typical High $87.10 | Professional | 80 · Assistant surgeon | $61.66 | $72.44 | $87.10 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $63.10 Typical High $75.86 | Professional | AS · PA/NP assist | $53.70 | $63.10 | $75.86 |
CareFirst Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $512.86 | Professional | None | $407.38 | $446.68 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $602.56 | Professional | None | $389.05 | $426.58 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $676.08 | Professional | None | $371.54 | $426.58 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | None | $549.54 | $691.83 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Facility | None | $549.54 | $549.54 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $562.34 | Professional | None | $489.78 | $501.19 | $562.34 |
Sentara Setting Facility Modifier None Typical Low $331.13 Median $794.33 Typical High $12,589.25 | Facility | None | $331.13 | $794.33 | $12,589.25 |
Sentara Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $630.96 | Professional | None | $416.87 | $457.09 | $630.96 |
United Setting Facility Modifier None Typical Low $7,244.36 Median $11,748.98 Typical High $26,915.35 | Facility | None | $7,244.36 | $11,748.98 | $26,915.35 |
United Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $691.83 | Professional | None | $316.23 | $398.11 | $691.83 |
2 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 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | 54 · Surgery only | $346.74 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $338.84 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 36th of 51
$447
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.