How much rates vary
Facilitymedian $4,786 · 10th to 90th $759 to $16,982Professionalmedian $933 · 10th to 90th $759 to $1,413
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 $912.01 Median $5,495.41 Typical High $14,125.38 | Facility | None | $912.01 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $954.99 | Professional | None | $691.83 | $912.01 | $954.99 |
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 $776.25 Median $933.25 Typical High $1,202.26 | Professional | None | $776.25 | $933.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $489.78 Median $588.84 Typical High $758.58 | Professional | 62 · Two surgeons | $489.78 | $588.84 | $758.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $151.36 Typical High $190.55 | Professional | 80 · Assistant surgeon | $125.89 | $151.36 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | AS · PA/NP assist | $109.65 | $131.83 | $169.82 |
CareFirst Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,230.27 | Professional | None | $851.14 | $954.99 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,495.41 | Facility | None | $501.19 | $1,174.90 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,412.54 | Professional | None | $776.25 | $933.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,047.13 | Professional | None | $707.95 | $851.14 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,380.38 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,479.11 | Facility | None | $912.01 | $1,122.02 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Sentara Setting Facility Modifier None Typical Low $724.44 Median $1,737.80 Typical High $7,413.10 | Facility | None | $724.44 | $1,737.80 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $2,187.76 | Professional | None | $758.58 | $1,071.52 | $2,187.76 |
United Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,309.57 | Facility | None | $436.52 | $2,344.23 | $6,309.57 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,621.81 | Professional | None | $676.08 | $1,096.48 | $1,621.81 |
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 $346.74 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $346.74 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $524.81 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $104.71 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $69.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $489.78 | $645.65 | $645.65 |
Where Virginia sits
The same service costs 6.3 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· 35th of 51
$977
AK $3,388UT $537
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.