How much rates vary
Facilitymedian $3,802 · 10th to 90th $661 to $13,804Professionalmedian $661 · 10th to 90th $550 to $1,023
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 $660.69 Median $5,495.41 Typical High $14,125.38 | Facility | None | $660.69 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $724.44 | Professional | None | $630.96 | $660.69 | $724.44 |
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 $549.54 Median $645.65 Typical High $831.76 | Professional | None | $549.54 | $645.65 | $831.76 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $346.74 Median $407.38 Typical High $524.81 | Professional | 62 · Two surgeons | $346.74 | $407.38 | $524.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $104.71 Typical High $134.90 | Professional | 80 · Assistant surgeon | $87.10 | $104.71 | $134.90 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $91.20 Typical High $117.49 | Professional | AS · PA/NP assist | $75.86 | $91.20 | $117.49 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $3,890.45 | Professional | None | $602.56 | $660.69 | $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 $575.44 Median $660.69 Typical High $1,000.00 | Professional | None | $575.44 | $660.69 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $758.58 | Professional | None | $512.86 | $616.60 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $891.25 | Professional | None | $707.95 | $891.25 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $1,071.52 | Facility | None | $660.69 | $851.14 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $2,137.96 Typical High $10,232.93 | Facility | None | $512.86 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $7,413.10 | Professional | None | $537.03 | $776.25 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,174.90 | Professional | None | $478.63 | $741.31 | $1,174.90 |
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 $309.03 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $309.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $125.89 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $467.74 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $93.33 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $436.52 | $457.09 | $457.09 |
Where Virginia sits
The same service costs 5.2 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· 43rd of 51
$692
AK $2,344UT $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.