How much rates vary
Facilitymedian $2,818 · 10th to 90th $776 to $8,710Professionalmedian $1,175 · 10th to 90th $759 to $1,995
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 $851.14 Median $851.14 Typical High $1,122.02 | Professional | None | $851.14 | $851.14 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,584.89 Typical High $10,715.19 | Facility | None | $707.95 | $1,584.89 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,905.46 | Professional | None | $741.31 | $1,174.90 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,258.93 Median $1,778.28 Typical High $2,884.03 | Professional | 50 · Both sides | $1,258.93 | $1,778.28 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $524.81 Median $758.58 Typical High $1,202.26 | Professional | 62 · Two surgeons | $524.81 | $758.58 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $199.53 Typical High $323.59 | Professional | 80 · Assistant surgeon | $134.90 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $165.96 Typical High $269.15 | Professional | AS · PA/NP assist | $120.23 | $165.96 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,073.80 Typical High $5,370.32 | Facility | None | $741.31 | $4,073.80 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,187.76 | Professional | None | $954.99 | $1,318.26 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $2,290.87 | Professional | None | $891.25 | $1,000.00 | $2,290.87 |
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 $741.31 Median $1,230.27 Typical High $2,137.96 | Professional | None | $741.31 | $1,230.27 | $2,137.96 |
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 $426.58 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $173.78 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $724.44 | Professional | 54 · Surgery only | $645.65 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $676.08 |
Where Georgia sits
The same service costs 7.6 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
$1,230
AK $3,388TX $447
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.