How much rates vary
Facilitymedian $3,236 · 10th to 90th $776 to $9,550Professionalmedian $1,622 · 10th to 90th $1,122 to $2,818
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 $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,202.26 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,584.89 Typical High $10,964.78 | Facility | None | $707.95 | $1,584.89 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,659.59 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,630.27 Typical High $4,168.69 | Professional | 50 · Both sides | $1,819.70 | $2,630.27 | $4,168.69 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,096.48 Typical High $1,737.80 | Professional | 62 · Two surgeons | $758.58 | $1,096.48 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $309.03 Typical High $446.68 | Professional | 80 · Assistant surgeon | $186.21 | $309.03 | $446.68 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $245.47 Typical High $389.05 | Professional | AS · PA/NP assist | $165.96 | $245.47 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,623.41 Typical High $7,244.36 | Facility | None | $741.31 | $5,623.41 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,348.96 | $1,949.84 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $3,019.95 | Professional | None | $1,202.26 | $1,348.96 | $3,019.95 |
Oscar Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
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 $1,122.02 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,862.09 | $3,090.30 |
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 $602.56 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $602.56 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | 53 · Discontinued | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $181.97 Typical High $204.17 | Professional | 55 · Aftercare only | $177.83 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $933.25 |
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
$1,738
AK $4,786TX $575
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.