How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,023 to $13,490Professionalmedian $1,122 · 10th to 90th $912 to $1,585
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 $1,412.54 Median $3,801.89 Typical High $9,332.54 | Facility | None | $1,412.54 | $3,801.89 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,148.15 | $1,905.46 |
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 $933.25 Median $1,122.02 Typical High $1,348.96 | Professional | None | $933.25 | $1,122.02 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $707.95 Typical High $851.14 | Professional | 62 · Two surgeons | $588.84 | $707.95 | $851.14 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $177.83 Typical High $213.80 | Professional | 80 · Assistant surgeon | $151.36 | $177.83 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $158.49 Typical High $190.55 | Professional | AS · PA/NP assist | $131.83 | $158.49 | $190.55 |
CareFirst Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,122.02 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $3,019.95 Typical High $7,943.28 | Facility | None | $478.63 | $3,019.95 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,513.56 | Professional | None | $933.25 | $1,000.00 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,288.25 | Professional | None | $851.14 | $1,023.29 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,862.09 | Facility | None | $1,148.15 | $1,318.26 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,258.93 | Professional | None | $977.24 | $1,148.15 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $870.96 Median $2,454.71 Typical High $10,232.93 | Facility | None | $870.96 | $2,454.71 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,288.25 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $20,417.38 | Facility | None | $1,995.26 | $8,511.38 | $20,417.38 |
United Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,862.09 | Professional | None | $676.08 | $954.99 | $1,862.09 |
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 $512.86 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $512.86 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $204.17 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $812.83 | $812.83 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Hawaii. 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.
Physician feeFacility fee
AK $10,992HI $2,489
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.