How much rates vary
Facilitymedian $2,754 · 10th to 90th $851 to $8,913Professionalmedian $813 · 10th to 90th $661 to $1,288
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 $707.95 Median $891.25 Typical High $8,511.38 | Facility | None | $707.95 | $891.25 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $977.24 | Professional | None | $707.95 | $812.83 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $3,311.31 Typical High $9,332.54 | Facility | None | $1,071.52 | $3,311.31 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,202.26 | Professional | None | $660.69 | $812.83 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,202.26 Typical High $1,778.28 | Professional | 50 · Both sides | $1,000.00 | $1,202.26 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $416.87 Median $512.86 Typical High $758.58 | Professional | 62 · Two surgeons | $416.87 | $512.86 | $758.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $128.82 Typical High $190.55 | Professional | 80 · Assistant surgeon | $107.15 | $128.82 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $112.20 Typical High $165.96 | Professional | AS · PA/NP assist | $93.33 | $112.20 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $5,888.44 | Facility | None | $758.58 | $1,230.27 | $5,888.44 |
CareSource Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,258.93 | Professional | None | $776.25 | $1,023.29 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $4,466.84 | Facility | None | $933.25 | $2,290.87 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $5,128.61 | Professional | None | $794.33 | $977.24 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $501.19 | Professional | None | $33.11 | $33.11 | $501.19 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,445.44 | Professional | None | $741.31 | $933.25 | $1,445.44 |
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 $354.81 Median $407.38 Typical High $489.78 | Professional | 52 · Reduced service | $354.81 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $162.18 Typical High $194.98 | Professional | 53 · Discontinued | $141.25 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $602.56 Typical High $724.44 | Professional | 54 · Surgery only | $537.03 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $123.03 Typical High $144.54 | Professional | 55 · Aftercare only | $107.15 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $81.28 Typical High $97.72 | Professional | 56 · Pre-op care only | $70.79 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $562.34 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $501.19 | $562.34 | $676.08 |
Where Kentucky 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.
Kentucky· 44th of 51
$871
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.