How much rates vary
Facilitymedian $4,365 · 10th to 90th $741 to $10,965Professionalmedian $692 · 10th to 90th $550 to $977
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 $812.83 Median $5,623.41 Typical High $10,964.78 | Facility | None | $812.83 | $5,623.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $3,981.07 | Professional | None | $562.34 | $812.83 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $6,456.54 Typical High $7,244.36 | Facility | None | $4,677.35 | $6,456.54 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $851.14 | Professional | None | $602.56 | $724.44 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,071.52 Typical High $1,258.93 | Professional | 50 · Both sides | $891.25 | $1,071.52 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $380.19 Median $446.68 Typical High $537.03 | Professional | 62 · Two surgeons | $380.19 | $446.68 | $537.03 |
CareFirst Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $794.33 | Professional | None | $602.56 | $660.69 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,778.28 Typical High $3,311.31 | Facility | None | $645.65 | $1,778.28 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $891.25 | Professional | None | $575.44 | $630.96 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $776.25 | Professional | None | $537.03 | $616.60 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,023.29 | Professional | None | $741.31 | $741.31 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $1,174.90 | Facility | None | $562.34 | $776.25 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $1,737.80 Typical High $10,232.93 | Facility | None | $512.86 | $1,737.80 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $6,025.60 | Professional | None | $457.09 | $741.31 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,548.82 | $6,760.83 | $17,378.01 |
United Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $1,071.52 | Professional | None | $457.09 | $602.56 | $1,071.52 |
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 $281.84 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $281.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $112.20 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $416.87 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $83.18 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $56.23 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $389.05 | $575.44 | $575.44 |
Where Virginia sits
The same service costs 8.5 times more in Wyoming 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· 36th of 51
$741
WY $3,020UT $355
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.