How much rates vary
Facilitymedian $1,175 · 10th to 90th $562 to $5,370Professionalmedian $1,950 · 10th to 90th $1,175 to $3,311
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 $1,380.38 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,380.38 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,380.38 | $1,659.59 |
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 $1,174.90 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,174.90 | $1,995.26 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,995.26 Median $2,951.21 Typical High $4,786.30 | Professional | 50 · Both sides | $1,995.26 | $2,951.21 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,258.93 Typical High $2,041.74 | Professional | 62 · Two surgeons | $831.76 | $1,258.93 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $316.23 Typical High $524.81 | Professional | 80 · Assistant surgeon | $208.93 | $316.23 | $524.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $275.42 Typical High $446.68 | Professional | AS · PA/NP assist | $186.21 | $275.42 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,445.44 Typical High $1,995.26 | Facility | None | $602.56 | $1,445.44 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,479.11 | $2,137.96 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,659.59 | $3,311.31 |
Oscar Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $3,548.13 | Facility | None | $501.19 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,630.78 | Professional | None | $1,122.02 | $1,819.70 | $3,630.78 |
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 $691.83 Median $691.83 Typical High $776.25 | Professional | 52 · Reduced service | $691.83 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,096.48 |
Where Georgia sits
The same service costs 3.7 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 $8,917DE $2,410
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.