How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,288 to $24,547Professionalmedian $1,862 · 10th to 90th $1,549 to $2,570
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 $1,819.70 Median $5,495.41 Typical High $14,125.38 | Facility | None | $1,819.70 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,778.28 | $1,819.70 | $1,819.70 |
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 $1,621.81 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,621.81 | $1,949.84 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,230.27 Typical High $1,479.11 | Professional | 62 · Two surgeons | $1,023.29 | $1,230.27 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $309.03 Typical High $380.19 | Professional | 80 · Assistant surgeon | $263.03 | $309.03 | $380.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $275.42 Typical High $331.13 | Professional | AS · PA/NP assist | $229.09 | $275.42 | $331.13 |
CareFirst Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,089.30 | Professional | None | $1,819.70 | $2,041.74 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,659.59 Typical High $6,760.83 | Facility | None | $501.19 | $1,659.59 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,698.24 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,905.46 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,570.40 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $3,162.28 | Facility | None | $1,819.70 | $2,137.96 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $3,890.45 | Professional | None | $2,041.74 | $2,089.30 | $3,890.45 |
Sentara Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $12,589.25 | Facility | None | $1,288.25 | $2,089.30 | $12,589.25 |
Sentara Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,621.81 | $2,041.74 | $3,890.45 |
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 $1,122.02 Median $1,548.82 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,548.82 | $3,090.30 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $354.81 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $177.83 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Where Virginia sits
The same service costs 6.0 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· 36th of 51
$1,905
AK $7,079TX $1,175
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.