How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $9,550Professionalmedian $1,148 · 10th to 90th $955 to $1,820
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 $1,148.15 Median $4,786.30 Typical High $14,125.38 | Facility | None | $1,148.15 | $4,786.30 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $3,467.37 | Professional | None | $1,071.52 | $1,148.15 | $3,467.37 |
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 $954.99 Median $1,122.02 Typical High $1,445.44 | Professional | None | $954.99 | $1,122.02 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $707.95 Typical High $912.01 | Professional | 62 · Two surgeons | $588.84 | $707.95 | $912.01 |
CareFirst Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $3,890.45 | Professional | None | $1,023.29 | $1,148.15 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $2,691.53 | Facility | None | $512.86 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,737.80 | Professional | None | $977.24 | $1,174.90 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,318.26 | Professional | None | $891.25 | $1,047.13 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,513.56 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,862.09 | Facility | None | $1,148.15 | $1,445.44 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $8,709.64 | Facility | None | $851.14 | $1,819.70 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $5,128.61 | Professional | None | $1,000.00 | $1,348.96 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,897.79 Typical High $13,182.57 | Facility | None | $1,230.27 | $4,897.79 | $13,182.57 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,041.74 | Professional | None | $831.76 | $1,288.25 | $2,041.74 |
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 $537.03 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $812.83 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $758.58 | $812.83 | $812.83 |
Where Virginia sits
The same service costs 5.9 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· 36th of 51
$1,202
AK $4,074UT $692
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.