How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,148 to $14,791Professionalmedian $2,754 · 10th to 90th $1,995 to $6,607
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 $2,398.83 Median $5,623.41 Typical High $11,748.98 | Facility | None | $2,398.83 | $5,623.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,819.70 | $2,137.96 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $5,370.32 Typical High $13,182.57 | Facility | None | $1,318.26 | $5,370.32 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $3,801.89 | Professional | None | $2,290.87 | $3,019.95 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $1,905.46 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,445.44 | $1,905.46 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $363.08 Median $489.78 Typical High $616.60 | Professional | 80 · Assistant surgeon | $363.08 | $489.78 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $426.58 Typical High $537.03 | Professional | AS · PA/NP assist | $316.23 | $426.58 | $537.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,949.84 | $2,089.30 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,120.11 Typical High $13,489.63 | Facility | None | $707.95 | $9,120.11 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $4,570.88 | Professional | None | $1,778.28 | $2,344.23 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,981.07 Typical High $21,877.62 | Facility | None | $54.95 | $3,981.07 | $21,877.62 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $31,622.78 | Professional | None | $2,187.76 | $3,715.35 | $31,622.78 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $6,309.57 Typical High $19,498.45 | Facility | None | $1,174.90 | $6,309.57 | $19,498.45 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,754.23 | $4,265.80 |
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 $912.01 Median $1,071.52 Typical High $1,202.26 | Professional | 52 · Reduced service | $912.01 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $436.52 Typical High $478.63 | Professional | 53 · Discontinued | $363.08 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,348.96 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $269.15 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $213.80 Typical High $239.88 | Professional | 56 · Pre-op care only | $181.97 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,513.56 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,513.56 | $1,659.59 |
Where Missouri sits
The same service costs 6.5 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.
Missouri· 25th of 51
$2,884
AK $8,710TX $1,349
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.