How much rates vary
Facilitymedian $6,761 · 10th to 90th $646 to $17,378Professionalmedian $631 · 10th to 90th $490 to $977
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 $602.56 Median $5,888.44 Typical High $14,125.38 | Facility | None | $602.56 | $5,888.44 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $3,981.07 | Professional | None | $457.09 | $602.56 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $10,715.19 Typical High $19,952.62 | Facility | None | $4,466.84 | $10,715.19 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $794.33 | Professional | None | $524.81 | $630.96 | $794.33 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $398.11 Typical High $501.19 | Professional | 62 · Two surgeons | $331.13 | $398.11 | $501.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $100.00 Typical High $128.82 | Professional | 80 · Assistant surgeon | $83.18 | $100.00 | $128.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $87.10 Typical High $112.20 | Professional | AS · PA/NP assist | $72.44 | $87.10 | $112.20 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $891.25 | Professional | None | $575.44 | $630.96 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $5,495.41 | Facility | None | $501.19 | $794.33 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $933.25 | Professional | None | $512.86 | $602.56 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $724.44 | Professional | None | $489.78 | $588.84 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $812.83 | Professional | None | $645.65 | $812.83 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $1,000.00 | Facility | None | $602.56 | $758.58 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Sentara Setting Facility Modifier None Typical Low $426.58 Median $1,071.52 Typical High $10,232.93 | Facility | None | $426.58 | $1,071.52 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $5,623.41 | Professional | None | $467.74 | $676.08 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,548.82 | $6,760.83 | $17,378.01 |
United Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,071.52 | Professional | None | $446.68 | $676.08 | $1,071.52 |
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 $229.09 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $346.74 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $69.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $45.71 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $323.59 | $426.58 | $426.58 |
Where Virginia sits
The same service costs 6.0 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· 39th of 51
$661
AK $2,239UT $372
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.