How much rates vary
Facilitymedian $2,570 · 10th to 90th $372 to $9,772Professionalmedian $355 · 10th to 90th $263 to $603
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 $380.19 Median $4,365.16 Typical High $14,125.38 | Facility | None | $380.19 | $4,365.16 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $602.56 | Professional | None | $251.19 | $398.11 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,715.35 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $389.05 | Professional | None | $275.42 | $331.13 | $389.05 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $489.78 Typical High $575.44 | Professional | 50 · Both sides | $407.38 | $489.78 | $575.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $173.78 Median $208.93 Typical High $245.47 | Professional | 62 · Two surgeons | $173.78 | $208.93 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $363.08 | Professional | None | $275.42 | $309.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,380.38 Typical High $2,951.21 | Facility | None | $724.44 | $1,380.38 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $575.44 | Professional | None | $263.03 | $416.87 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $660.69 | Professional | None | $446.68 | $524.81 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | None | $660.69 | $660.69 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $831.76 | Facility | None | $251.19 | $398.11 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Sentara Setting Facility Modifier None Typical Low $251.19 Median $1,023.29 Typical High $8,709.64 | Facility | None | $251.19 | $1,023.29 | $8,709.64 |
Sentara Setting Professional Modifier None Typical Low $316.23 Median $537.03 Typical High $4,570.88 | Professional | None | $316.23 | $537.03 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $13,182.57 | Facility | None | $1,230.27 | $5,011.87 | $13,182.57 |
United Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $676.08 | Professional | None | $223.87 | $371.54 | $676.08 |
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 $125.89 Median $194.98 Typical High $302.00 | Professional | 52 · Reduced service | $125.89 | $194.98 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $50.12 | $79.43 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $295.12 Typical High $446.68 | Professional | 54 · Surgery only | $190.55 | $295.12 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $58.88 Typical High $89.13 | Professional | 55 · Aftercare only | $38.02 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $39.81 Typical High $60.26 | Professional | 56 · Pre-op care only | $25.12 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $275.42 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $177.83 | $275.42 | $416.87 |
Where Virginia sits
The same service costs 5.5 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· 45th of 51
$380
AK $1,585UT $288
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.