How much rates vary
Facilitymedian $2,188 · 10th to 90th $759 to $7,943Professionalmedian $1,445 · 10th to 90th $955 to $2,455
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 $1,047.13 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,071.52 | $1,288.25 |
Ambetter Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $912.01 Median $1,445.44 Typical High $2,344.23 | Professional | None | $912.01 | $1,445.44 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $2,187.76 Typical High $3,548.13 | Professional | 50 · Both sides | $1,513.56 | $2,187.76 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $234.42 Typical High $398.11 | Professional | 80 · Assistant surgeon | $162.18 | $234.42 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $204.17 Typical High $338.84 | Professional | AS · PA/NP assist | $144.54 | $204.17 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,073.80 Typical High $5,370.32 | Facility | None | $741.31 | $4,073.80 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,513.56 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,230.27 | $1,778.28 |
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 $891.25 Median $1,479.11 Typical High $2,630.27 | Professional | None | $891.25 | $1,479.11 | $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 $524.81 Median $537.03 Typical High $588.84 | Professional | 52 · Reduced service | $524.81 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $234.42 | Professional | 53 · Discontinued | $208.93 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $162.18 Typical High $177.83 | Professional | 55 · Aftercare only | $154.88 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $117.49 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $741.31 | $812.83 |
Where Georgia sits
The same service costs 3.9 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $12,209DE $3,093
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.