How much rates vary
Facilitymedian $3,388 · 10th to 90th $871 to $9,550Professionalmedian $1,318 · 10th to 90th $871 to $2,239
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 $1,202.26 Median $5,623.41 Typical High $9,549.93 | Facility | None | $1,202.26 | $5,623.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,230.27 | Professional | None | $977.24 | $977.24 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,698.24 Typical High $10,964.78 | Facility | None | $812.83 | $1,698.24 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,137.96 | Professional | None | $870.96 | $1,318.26 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $2,089.30 Typical High $3,388.44 | Professional | 50 · Both sides | $1,445.44 | $2,089.30 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $870.96 Typical High $1,412.54 | Professional | 62 · Two surgeons | $602.56 | $870.96 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $263.03 Typical High $371.54 | Professional | 80 · Assistant surgeon | $151.36 | $263.03 | $371.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $194.98 Typical High $316.23 | Professional | AS · PA/NP assist | $134.90 | $194.98 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,248.07 Typical High $6,606.93 | Facility | None | $812.83 | $5,248.07 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,548.82 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $2,691.53 | Professional | None | $977.24 | $1,122.02 | $2,691.53 |
Oscar Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
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 $870.96 Median $1,412.54 Typical High $2,454.71 | Professional | None | $870.96 | $1,412.54 | $2,454.71 |
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 $489.78 Median $489.78 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $724.44 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $162.18 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $758.58 |
Where Georgia sits
The same service costs 7.9 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· 22nd of 51
$1,413
AK $3,890TX $490
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.