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 $134.90 Median $4,365.16 Typical High $14,125.38 | Facility | None | $134.90 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $154.88 | Professional | None | $109.65 | $125.89 | $154.88 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $69.18 Median $79.43 Typical High $97.72 | Professional | 62 · Two surgeons | $69.18 | $79.43 | $97.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $20.89 Typical High $24.55 | Professional | 80 · Assistant surgeon | $16.98 | $20.89 | $24.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $17.78 Typical High $21.38 | Professional | AS · PA/NP assist | $15.14 | $17.78 | $21.38 |
CareFirst Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $144.54 | Professional | None | $114.82 | $125.89 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $851.14 Typical High $2,691.53 | Facility | None | $457.09 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $173.78 | Professional | None | $112.20 | $120.23 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $194.98 | Professional | None | $100.00 | $114.82 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | None | $162.18 | $204.17 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $162.18 Typical High $218.78 | Facility | None | $134.90 | $162.18 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $165.96 | Professional | None | $141.25 | $144.54 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $114.82 Median $870.96 Typical High $3,715.35 | Facility | None | $114.82 | $870.96 | $3,715.35 |
Sentara Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $199.53 | Professional | None | $117.49 | $131.83 | $199.53 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $5,888.44 | Facility | None | $588.84 | $2,187.76 | $5,888.44 |
United Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $199.53 | Professional | None | $91.20 | $112.20 | $199.53 |
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 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 54 · Surgery only | $100.00 | $100.00 | $102.33 |
Where Virginia sits
The same service costs 4.9 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· 38th of 51
$126
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.