How much rates vary
Facilitymedian $2,692 · 10th to 90th $631 to $8,710Professionalmedian $1,862 · 10th to 90th $1,096 to $3,162
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 $1,380.38 Median $5,370.32 Typical High $10,000.00 | Facility | None | $1,380.38 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,380.38 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $10,964.78 | Facility | None | $588.84 | $1,548.82 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,862.09 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,818.38 Typical High $4,570.88 | Professional | 50 · Both sides | $1,659.59 | $2,818.38 | $4,570.88 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $1,174.90 Typical High $1,905.46 | Professional | 62 · Two surgeons | $707.95 | $1,174.90 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $302.00 Typical High $512.86 | Professional | 80 · Assistant surgeon | $177.83 | $302.00 | $512.86 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $263.03 Typical High $426.58 | Professional | AS · PA/NP assist | $154.88 | $263.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,370.32 Typical High $6,918.31 | Facility | None | $602.56 | $5,370.32 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $3,548.13 | Professional | None | $1,174.90 | $2,089.30 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,318.26 | $1,548.82 | $2,454.71 |
Oscar Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,344.23 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $3,467.37 | Professional | None | $933.25 | $1,698.24 | $3,467.37 |
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 $691.83 Median $691.83 Typical High $776.25 | Professional | 52 · Reduced service | $691.83 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,023.29 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $208.93 Typical High $234.42 | Professional | 55 · Aftercare only | $204.17 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $977.24 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $954.99 | $977.24 | $1,096.48 |
Where Georgia sits
The same service costs 8.9 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· 21st of 51
$1,862
AK $5,495TX $617
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.