How much rates vary
Facilitymedian $3,802 · 10th to 90th $891 to $13,804Professionalmedian $1,000 · 10th to 90th $813 to $1,549
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 $1,000.00 Median $4,365.16 Typical High $14,125.38 | Facility | None | $1,000.00 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,570.40 | Professional | None | $912.01 | $1,000.00 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,760.83 Median $9,332.54 Typical High $22,387.21 | Facility | None | $6,760.83 | $9,332.54 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,258.93 | Professional | None | $812.83 | $977.24 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $512.86 Median $616.60 Typical High $776.25 | Professional | 62 · Two surgeons | $512.86 | $616.60 | $776.25 |
CareFirst Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $4,365.16 | Professional | None | $851.14 | $933.25 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,691.53 Typical High $5,128.61 | Facility | None | $512.86 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,513.56 | Professional | None | $851.14 | $1,000.00 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,122.02 | Professional | None | $758.58 | $891.25 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,380.38 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,000.00 | $1,318.26 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Sentara Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $8,709.64 | Facility | None | $794.33 | $1,778.28 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $4,570.88 | Professional | None | $812.83 | $1,148.15 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,128.61 Typical High $17,378.01 | Facility | None | $1,230.27 | $5,128.61 | $17,378.01 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,778.28 | Professional | None | $724.44 | $1,148.15 | $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 $457.09 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $457.09 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $186.21 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $691.83 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $138.04 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $91.20 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $645.65 | $691.83 | $691.83 |
Where Virginia sits
The same service costs 5.8 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· 42nd of 51
$1,023
AK $3,548UT $617
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.