How much rates vary
Facilitymedian $1,995 · 10th to 90th $631 to $6,310Professionalmedian $1,413 · 10th to 90th $933 to $2,399
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 $1,047.13 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,047.13 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,047.13 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $2,290.87 | Professional | None | $933.25 | $1,412.54 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,290.87 Typical High $3,630.78 | Professional | 50 · Both sides | $1,548.82 | $2,290.87 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $263.03 Typical High $389.05 | Professional | 80 · Assistant surgeon | $162.18 | $263.03 | $389.05 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $208.93 Typical High $323.59 | Professional | AS · PA/NP assist | $141.25 | $208.93 | $323.59 |
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 $1,148.15 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,148.15 | $1,659.59 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,202.26 | $2,238.72 |
Oscar Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,778.28 Typical High $1,819.70 | Professional | None | $1,584.89 | $1,778.28 | $1,819.70 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,630.27 | Professional | None | $977.24 | $1,621.81 | $2,630.27 |
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 $512.86 Median $524.81 Typical High $588.84 | Professional | 52 · Reduced service | $512.86 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $204.17 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $104.71 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $812.83 |
Where Georgia sits
The same service costs 8.3 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
$1,479
AK $4,169TX $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.