How much rates vary
Facilitymedian $2,884 · 10th to 90th $776 to $10,000Professionalmedian $1,479 · 10th to 90th $955 to $2,512
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 $5,370.32 Typical High $8,317.64 | Facility | None | $1,202.26 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,096.48 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $11,748.98 | Facility | None | $707.95 | $1,659.59 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,398.83 | Professional | None | $954.99 | $1,479.11 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $2,290.87 Typical High $3,715.35 | Professional | 50 · Both sides | $1,584.89 | $2,290.87 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $977.24 Typical High $1,584.89 | Professional | 62 · Two surgeons | $660.69 | $977.24 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $257.04 Typical High $407.38 | Professional | 80 · Assistant surgeon | $169.82 | $257.04 | $407.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $213.80 Typical High $346.74 | Professional | AS · PA/NP assist | $151.36 | $213.80 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $7,413.10 Typical High $9,549.93 | Facility | None | $741.31 | $7,413.10 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,698.24 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,230.27 | $2,884.03 |
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 $954.99 Median $1,584.89 Typical High $2,691.53 | Professional | None | $954.99 | $1,584.89 | $2,691.53 |
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 $537.03 Median $549.54 Typical High $602.56 | Professional | 52 · Reduced service | $537.03 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $218.78 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $812.83 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $851.14 |
Where Georgia sits
The same service costs 8.7 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· 23rd of 51
$1,514
AK $4,365TX $501
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.