How much rates vary
Facilitymedian $2,344 · 10th to 90th $776 to $8,318Professionalmedian $724 · 10th to 90th $562 to $1,122
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 $630.96 Median $776.25 Typical High $2,630.27 | Facility | None | $630.96 | $776.25 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $933.25 | Professional | None | $630.96 | $724.44 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $2,884.03 Typical High $8,709.64 | Facility | None | $954.99 | $2,884.03 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,047.13 | Professional | None | $562.34 | $676.08 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $1,023.29 Typical High $1,584.89 | Professional | 50 · Both sides | $831.76 | $1,023.29 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $354.81 Median $426.58 Typical High $660.69 | Professional | 62 · Two surgeons | $354.81 | $426.58 | $660.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $109.65 Typical High $169.82 | Professional | 80 · Assistant surgeon | $89.13 | $109.65 | $169.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $95.50 Typical High $147.91 | Professional | AS · PA/NP assist | $77.62 | $95.50 | $147.91 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $5,888.44 | Facility | None | $588.84 | $1,096.48 | $5,888.44 |
CareSource Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,096.48 | Professional | None | $616.60 | $891.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $4,466.84 | Facility | None | $1,202.26 | $1,862.09 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $4,897.79 | Professional | None | $691.83 | $891.25 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $389.05 | Professional | None | $33.11 | $33.11 | $389.05 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $5,128.61 | Facility | None | $741.31 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,288.25 | Professional | None | $660.69 | $851.14 | $1,288.25 |
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 $316.23 Median $363.08 Typical High $467.74 | Professional | 52 · Reduced service | $316.23 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $144.54 Typical High $186.21 | Professional | 53 · Discontinued | $125.89 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $537.03 Typical High $691.83 | Professional | 54 · Surgery only | $467.74 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $138.04 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $72.44 Typical High $93.33 | Professional | 56 · Pre-op care only | $63.10 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $501.19 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $436.52 | $501.19 | $645.65 |
Where Kentucky 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.
Kentucky· 43rd of 51
$759
AK $3,020TX $380
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.