How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $7,413Professionalmedian $2,042 · 10th to 90th $1,318 to $3,467
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 $1,513.56 Median $6,309.57 Typical High $10,000.00 | Facility | None | $1,513.56 | $6,309.57 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,513.56 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,888.44 | Facility | None | $575.44 | $1,148.15 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,258.93 | $2,041.74 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $3,162.28 Typical High $5,128.61 | Professional | 50 · Both sides | $2,238.72 | $3,162.28 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $933.25 Median $1,348.96 Typical High $2,137.96 | Professional | 62 · Two surgeons | $933.25 | $1,348.96 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $354.81 Typical High $562.34 | Professional | 80 · Assistant surgeon | $234.42 | $354.81 | $562.34 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $208.93 Median $295.12 Typical High $489.78 | Professional | AS · PA/NP assist | $208.93 | $295.12 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $5,370.32 Typical High $6,760.83 | Facility | None | $630.96 | $5,370.32 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,890.45 | Professional | None | $1,659.59 | $2,398.83 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $3,630.78 | Professional | None | $1,513.56 | $1,698.24 | $3,630.78 |
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 $1,318.26 Median $2,187.76 Typical High $3,715.35 | Professional | None | $1,318.26 | $2,187.76 | $3,715.35 |
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 $758.58 Median $758.58 Typical High $851.14 | Professional | 52 · Reduced service | $758.58 | $758.58 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | 53 · Discontinued | $302.00 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,174.90 |
Where Georgia sits
The same service costs 8.7 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
$2,042
AK $5,888TX $676
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.