How much rates vary
Facilitymedian $2,089 · 10th to 90th $398 to $7,079Professionalmedian $631 · 10th to 90th $501 to $1,549
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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $645.65 | Professional | None | $457.09 | $549.54 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $3,467.37 Typical High $7,079.46 | Facility | None | $204.17 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $870.96 | Professional | None | $524.81 | $630.96 | $870.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $398.11 Typical High $549.54 | Professional | 62 · Two surgeons | $331.13 | $398.11 | $549.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $102.33 Typical High $141.25 | Professional | 80 · Assistant surgeon | $83.18 | $102.33 | $141.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $89.13 Typical High $123.03 | Professional | AS · PA/NP assist | $72.44 | $89.13 | $123.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $724.44 | Professional | None | $512.86 | $549.54 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $2,691.53 | Facility | None | $380.19 | $562.34 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $1,047.13 | Professional | None | $457.09 | $588.84 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,348.96 Typical High $26,302.68 | Facility | None | $446.68 | $1,348.96 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $4,265.80 | Professional | None | $537.03 | $891.25 | $4,265.80 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,238.72 | Facility | None | $398.11 | $1,148.15 | $2,238.72 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,096.48 | Professional | None | $478.63 | $630.96 | $1,096.48 |
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 $229.09 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $416.87 Typical High $457.09 | Professional | 54 · Surgery only | $346.74 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $83.18 Typical High $91.20 | Professional | 55 · Aftercare only | $69.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $45.71 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $389.05 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $323.59 | $389.05 | $426.58 |
Where Missouri sits
The same service costs 6.3 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.
Missouri· 28th of 51
$661
AK $2,239UT $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.