How much rates vary
Facilitymedian $3,162 · 10th to 90th $631 to $9,333Professionalmedian $1,288 · 10th to 90th $871 to $2,239
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 $977.24 Median $5,370.32 Typical High $7,943.28 | Facility | None | $977.24 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,202.26 | Professional | None | $933.25 | $954.99 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $10,964.78 | Facility | None | $588.84 | $1,548.82 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,238.72 | Professional | None | $870.96 | $1,318.26 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $2,041.74 Typical High $3,388.44 | Professional | 50 · Both sides | $1,412.54 | $2,041.74 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $245.47 Typical High $363.08 | Professional | 80 · Assistant surgeon | $147.91 | $245.47 | $363.08 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $190.55 Typical High $316.23 | Professional | AS · PA/NP assist | $131.83 | $190.55 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,073.80 Typical High $5,128.61 | Facility | None | $602.56 | $4,073.80 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,513.56 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $2,398.83 | Professional | None | $954.99 | $1,071.52 | $2,398.83 |
Oscar Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,584.89 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $9,549.93 | Facility | None | $1,513.56 | $3,715.35 | $9,549.93 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,454.71 | Professional | None | $870.96 | $1,445.44 | $2,454.71 |
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 $467.74 Median $467.74 Typical High $524.81 | Professional | 52 · Reduced service | $467.74 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $186.21 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | 54 · Surgery only | $707.95 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $95.50 Typical High $104.71 | Professional | 56 · Pre-op care only | $93.33 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $741.31 |
Where Georgia sits
The same service costs 14.5 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
$1,380
AK $3,715TX $257
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.