How much rates vary
Facilitymedian $3,890 · 10th to 90th $537 to $11,220Professionalmedian $550 · 10th to 90th $447 to $832
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 $549.54 Median $5,495.41 Typical High $14,125.38 | Facility | None | $549.54 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $912.01 | Professional | None | $457.09 | $549.54 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $6,760.83 Typical High $12,882.50 | Facility | None | $2,818.38 | $6,760.83 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $691.83 | Professional | None | $446.68 | $537.03 | $691.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $281.84 Median $338.84 Typical High $436.52 | Professional | 62 · Two surgeons | $281.84 | $338.84 | $436.52 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $87.10 Typical High $109.65 | Professional | 80 · Assistant surgeon | $72.44 | $87.10 | $109.65 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $75.86 Typical High $95.50 | Professional | AS · PA/NP assist | $63.10 | $75.86 | $95.50 |
CareFirst Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $707.95 | Professional | None | $489.78 | $537.03 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $3,019.95 | Facility | None | $512.86 | $1,174.90 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $831.76 | Professional | None | $457.09 | $549.54 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $588.84 | Professional | None | $398.11 | $478.63 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | None | $741.31 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $891.25 | Facility | None | $549.54 | $660.69 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $7,413.10 | Facility | None | $446.68 | $758.58 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,174.90 | Professional | None | $457.09 | $630.96 | $1,174.90 |
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 $398.11 Median $645.65 Typical High $977.24 | Professional | None | $398.11 | $645.65 | $977.24 |
5 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 $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $338.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $67.61 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $45.71 | $54.95 | $54.95 |
Where Virginia sits
The same service costs 3.4 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
$562
AK $1,514UT $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.