How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,259 to $24,547Professionalmedian $2,630 · 10th to 90th $2,138 to $3,802
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 $2,630.27 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,630.27 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,630.27 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $15,488.17 Typical High $28,840.32 | Facility | None | $6,456.54 | $15,488.17 | $28,840.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $3,388.44 | Professional | None | $2,187.76 | $2,630.27 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,659.59 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,380.38 | $1,659.59 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $416.87 Typical High $537.03 | Professional | 80 · Assistant surgeon | $346.74 | $416.87 | $537.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $363.08 Typical High $467.74 | Professional | AS · PA/NP assist | $309.03 | $363.08 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $2,511.89 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,511.89 | $2,818.38 | $3,715.35 |
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 $2,187.76 Median $2,570.40 Typical High $3,981.07 | Professional | None | $2,187.76 | $2,570.40 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,089.30 | $2,511.89 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,019.95 | $3,801.89 | $3,801.89 |
Medcost Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $4,265.80 | Facility | None | $2,630.27 | $2,951.21 | $4,265.80 |
Medcost Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Sentara Setting Facility Modifier None Typical Low $1,445.44 Median $2,570.40 Typical High $10,471.29 | Facility | None | $1,445.44 | $2,570.40 | $10,471.29 |
Sentara Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $5,495.41 | Professional | None | $2,187.76 | $2,884.03 | $5,495.41 |
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 $1,905.46 Median $2,951.21 Typical High $4,466.84 | Professional | None | $1,905.46 | $2,951.21 | $4,466.84 |
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 $1,174.90 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,174.90 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $467.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,737.80 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $346.74 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $263.03 Typical High $263.03 | Professional | 56 · Pre-op care only | $234.42 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,819.70 | $1,819.70 |
Where Virginia sits
The same service costs 7.6 times more in Alaska than in Texas. 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· 33rd of 51
$2,754
AK $9,550TX $1,259
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.