How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,047 to $10,000Professionalmedian $3,388 · 10th to 90th $2,344 to $5,754
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 $2,454.71 Median $6,309.57 Typical High $10,000.00 | Facility | None | $2,454.71 | $6,309.57 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $6,456.54 | Professional | None | $2,454.71 | $2,454.71 | $6,456.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $11,220.18 | Facility | None | $1,071.52 | $1,905.46 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,344.23 | $3,388.44 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,513.56 Median $2,187.76 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,513.56 | $2,187.76 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $575.44 Typical High $912.01 | Professional | 80 · Assistant surgeon | $389.05 | $575.44 | $912.01 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $478.63 Typical High $776.25 | Professional | AS · PA/NP assist | $338.84 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,168.69 Typical High $5,370.32 | Facility | None | $602.56 | $4,168.69 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,890.45 Typical High $6,309.57 | Professional | None | $2,818.38 | $3,890.45 | $6,309.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $15,488.17 | Professional | None | $2,511.89 | $2,884.03 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $9,549.93 | Facility | None | $1,513.56 | $3,715.35 | $9,549.93 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $6,165.95 | Professional | None | $2,137.96 | $3,548.13 | $6,165.95 |
2 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 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $2,089.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,949.84 |
Where Georgia sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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 $19,545KY $4,915
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.