How much rates vary
Facilitymedian $2,884 · 10th to 90th $891 to $10,471Professionalmedian $912 · 10th to 90th $741 to $1,413
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 $776.25 Median $954.99 Typical High $8,511.38 | Facility | None | $776.25 | $954.99 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,047.13 | Professional | None | $776.25 | $870.96 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,467.37 Typical High $11,748.98 | Facility | None | $1,202.26 | $3,467.37 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,318.26 | Professional | None | $741.31 | $891.25 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,348.96 Typical High $1,995.26 | Professional | 50 · Both sides | $1,096.48 | $1,348.96 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $562.34 Typical High $831.76 | Professional | 62 · Two surgeons | $457.09 | $562.34 | $831.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | 80 · Assistant surgeon | $117.49 | $144.54 | $208.93 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $125.89 Typical High $186.21 | Professional | AS · PA/NP assist | $102.33 | $125.89 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $1,348.96 Typical High $8,511.38 | Facility | None | $812.83 | $1,348.96 | $8,511.38 |
CareSource Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,380.38 | Professional | None | $831.76 | $1,122.02 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,511.89 Typical High $6,165.95 | Facility | None | $1,000.00 | $2,511.89 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $5,495.41 | Professional | None | $851.14 | $1,122.02 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $630.96 | Professional | None | $33.11 | $33.11 | $630.96 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,290.87 Typical High $9,772.37 | Facility | None | $831.76 | $2,290.87 | $9,772.37 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,584.89 | Professional | None | $851.14 | $1,047.13 | $1,584.89 |
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 $389.05 Median $436.52 Typical High $524.81 | Professional | 52 · Reduced service | $389.05 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $154.88 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $660.69 Typical High $794.33 | Professional | 54 · Surgery only | $575.44 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $131.83 Typical High $158.49 | Professional | 55 · Aftercare only | $114.82 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $87.10 Typical High $104.71 | Professional | 56 · Pre-op care only | $77.62 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $616.60 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $537.03 | $616.60 | $741.31 |
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· 40th of 51
$955
AK $3,715TX $468
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.