How much rates vary
Facilitymedian $1,862 · 10th to 90th $562 to $6,310Professionalmedian $1,072 · 10th to 90th $708 to $1,862
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 $831.76 Median $5,011.87 Typical High $7,943.28 | Facility | None | $831.76 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $1,071.52 | Professional | None | $776.25 | $794.33 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $5,754.40 | Facility | None | $512.86 | $1,071.52 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,737.80 | Professional | None | $676.08 | $1,071.52 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,621.81 Typical High $2,630.27 | Professional | 50 · Both sides | $1,148.15 | $1,621.81 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $489.78 Median $676.08 Typical High $1,122.02 | Professional | 62 · Two surgeons | $489.78 | $676.08 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $181.97 Typical High $295.12 | Professional | 80 · Assistant surgeon | $123.03 | $181.97 | $295.12 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $151.36 Typical High $251.19 | Professional | AS · PA/NP assist | $107.15 | $151.36 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $4,073.80 Typical High $5,128.61 | Facility | None | $524.81 | $4,073.80 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $2,041.74 | Professional | None | $870.96 | $1,202.26 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,995.26 | Professional | None | $812.83 | $912.01 | $1,995.26 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,949.84 | Professional | None | $691.83 | $1,122.02 | $1,949.84 |
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 $389.05 Median $389.05 Typical High $436.52 | Professional | 52 · Reduced service | $389.05 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | 53 · Discontinued | $154.88 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $588.84 Typical High $660.69 | Professional | 54 · Surgery only | $575.44 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $117.49 Typical High $131.83 | Professional | 55 · Aftercare only | $114.82 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $79.43 Typical High $87.10 | Professional | 56 · Pre-op care only | $77.62 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $549.54 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $537.03 | $549.54 | $616.60 |
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· 23rd of 51
$1,096
AK $3,162TX $174
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.