How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $7,079Professionalmedian $2,089 · 10th to 90th $1,259 to $3,467
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 $1,548.82 Median $6,309.57 Typical High $10,000.00 | Facility | None | $1,548.82 | $6,309.57 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,548.82 | $1,548.82 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,258.93 | $2,089.30 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $3,162.28 Typical High $5,128.61 | Professional | 50 · Both sides | $1,949.84 | $3,162.28 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,318.26 Typical High $2,137.96 | Professional | 62 · Two surgeons | $851.14 | $1,318.26 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $338.84 Typical High $575.44 | Professional | 80 · Assistant surgeon | $204.17 | $338.84 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $295.12 Typical High $478.63 | Professional | AS · PA/NP assist | $186.21 | $295.12 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,265.80 Typical High $5,370.32 | Facility | None | $630.96 | $4,265.80 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,398.83 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,479.11 | $1,737.80 | $2,454.71 |
Oscar Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $2,691.53 | Professional | None | $2,344.23 | $2,630.27 | $2,691.53 |
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 $1,122.02 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,122.02 | $1,905.46 | $3,801.89 |
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 $758.58 Median $776.25 Typical High $870.96 | Professional | 52 · Reduced service | $758.58 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | 53 · Discontinued | $309.03 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $234.42 Typical High $263.03 | Professional | 55 · Aftercare only | $229.09 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,230.27 |
Where Georgia sits
The same service costs 5.5 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 $15,938KY $2,890
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.