How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,000 to $7,762Professionalmedian $1,413 · 10th to 90th $871 to $2,291
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 $1,047.13 Median $7,079.46 Typical High $12,302.69 | Facility | None | $1,047.13 | $7,079.46 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,047.13 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,698.24 Typical High $7,244.36 | Facility | None | $954.99 | $1,698.24 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,290.87 | Professional | None | $870.96 | $1,412.54 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $2,089.30 Typical High $3,388.44 | Professional | 50 · Both sides | $1,513.56 | $2,089.30 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $891.25 Typical High $1,445.44 | Professional | 62 · Two surgeons | $630.96 | $891.25 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $239.88 Typical High $380.19 | Professional | 80 · Assistant surgeon | $158.49 | $239.88 | $380.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $194.98 Typical High $316.23 | Professional | AS · PA/NP assist | $141.25 | $194.98 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,467.37 Typical High $4,365.16 | Facility | None | $645.65 | $3,467.37 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,584.89 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,570.40 | Professional | None | $1,023.29 | $1,148.15 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,570.40 | Professional | None | $891.25 | $1,479.11 | $2,570.40 |
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 $512.86 Typical High $575.44 | Professional | 52 · Reduced service | $512.86 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $204.17 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $812.83 |
Where Georgia sits
The same service costs 18.2 times more in Alaska than in Texas. 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.
Georgia· 22nd of 51
$1,445
AK $4,074TX $224
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.