How much rates vary
Facilitymedian $3,802 · 10th to 90th $692 to $11,482Professionalmedian $692 · 10th to 90th $562 to $955
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 $691.83 Median $5,495.41 Typical High $14,125.38 | Facility | None | $691.83 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | None | $660.69 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,413.10 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,413.10 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $870.96 | Professional | None | $602.56 | $724.44 | $870.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,071.52 Typical High $1,288.25 | Professional | 50 · Both sides | $891.25 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | 80 · Assistant surgeon | $95.50 | $114.82 | $138.04 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $100.00 Typical High $120.23 | Professional | AS · PA/NP assist | $83.18 | $100.00 | $120.23 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $870.96 | Professional | None | $602.56 | $660.69 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,348.96 Typical High $2,691.53 | Facility | None | $512.86 | $1,348.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $954.99 | Professional | None | $537.03 | $645.65 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $891.25 | Professional | None | $588.84 | $707.95 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $954.99 | Professional | None | $758.58 | $954.99 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $1,148.15 | Facility | None | $691.83 | $812.83 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $977.24 | Professional | None | $758.58 | $831.76 | $977.24 |
Sentara Setting Facility Modifier None Typical Low $537.03 Median $2,137.96 Typical High $10,232.93 | Facility | None | $537.03 | $2,137.96 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,513.56 | Professional | None | $602.56 | $758.58 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $16,595.87 | Facility | None | $1,548.82 | $6,760.83 | $16,595.87 |
United Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $1,148.15 | Professional | None | $426.58 | $588.84 | $1,148.15 |
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 $331.13 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $331.13 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $131.83 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $489.78 |
Where Virginia sits
The same service costs 5.8 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· 38th of 51
$692
AK $2,570UT $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.