How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,096 to $8,913Professionalmedian $676 · 10th to 90th $537 to $1,585
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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $691.83 | Professional | None | $489.78 | $575.44 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $891.25 | Professional | None | $537.03 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $977.24 Typical High $1,348.96 | Professional | 50 · Both sides | $812.83 | $977.24 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $104.71 Typical High $141.25 | Professional | 80 · Assistant surgeon | $87.10 | $104.71 | $141.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $91.20 Typical High $123.03 | Professional | AS · PA/NP assist | $75.86 | $91.20 | $123.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $776.25 | Professional | None | $537.03 | $575.44 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,089.30 Typical High $2,691.53 | Facility | None | $645.65 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $1,174.90 | Professional | None | $478.63 | $616.60 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,754.23 Typical High $26,302.68 | Facility | None | $794.33 | $2,754.23 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $4,265.80 | Professional | None | $575.44 | $954.99 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,148.15 | Professional | None | $501.19 | $707.95 | $1,148.15 |
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 $245.47 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $245.47 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $97.72 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $436.52 Typical High $478.63 | Professional | 54 · Surgery only | $363.08 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $87.10 Typical High $95.50 | Professional | 55 · Aftercare only | $72.44 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $57.54 Typical High $64.57 | Professional | 56 · Pre-op care only | $48.98 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $407.38 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $338.84 | $407.38 | $446.68 |
Where Missouri 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.
Missouri· 29th of 51
$741
AK $2,344TX $263
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.