How much rates vary
Facilitymedian $955 · 10th to 90th $178 to $5,129Professionalmedian $661 · 10th to 90th $525 to $933
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 $676.08 Median $4,786.30 Typical High $10,000.00 | Facility | None | $676.08 | $4,786.30 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $794.33 | Professional | None | $588.84 | $676.08 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $794.33 | Professional | None | $549.54 | $660.69 | $794.33 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $346.74 Median $416.87 Typical High $501.19 | Professional | 62 · Two surgeons | $346.74 | $416.87 | $501.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $104.71 Typical High $125.89 | Professional | 80 · Assistant surgeon | $87.10 | $104.71 | $125.89 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $91.20 Typical High $109.65 | Professional | AS · PA/NP assist | $77.62 | $91.20 | $109.65 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $758.58 | Professional | None | $575.44 | $630.96 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $2,691.53 | Facility | None | $457.09 | $912.01 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $912.01 | Professional | None | $537.03 | $588.84 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $724.44 | Professional | None | $489.78 | $588.84 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,096.48 | Professional | None | $870.96 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $1,122.02 | Facility | None | $676.08 | $812.83 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $776.25 | Professional | None | $331.13 | $398.11 | $776.25 |
Sentara Setting Facility Modifier None Typical Low $380.19 Median $870.96 Typical High $2,754.23 | Facility | None | $380.19 | $870.96 | $2,754.23 |
Sentara Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,380.38 | Professional | None | $602.56 | $794.33 | $1,380.38 |
United Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $2,089.30 | Facility | None | $100.00 | $660.69 | $2,089.30 |
United Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $1,096.48 | Professional | None | $398.11 | $562.34 | $1,096.48 |
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 $295.12 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $295.12 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $120.23 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $446.68 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $89.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $58.88 | $67.61 | $67.61 |
Where Virginia sits
The same service costs 4.9 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
$661
AK $2,399UT $490
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.