How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $7,413Professionalmedian $2,399 · 10th to 90th $1,514 to $3,981
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 $1,737.80 Median $6,309.57 Typical High $10,000.00 | Facility | None | $1,737.80 | $6,309.57 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,737.80 | $2,137.96 |
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 $1,513.56 Median $2,398.83 Typical High $3,890.45 | Professional | None | $1,513.56 | $2,398.83 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,715.35 Typical High $6,025.60 | Professional | 50 · Both sides | $2,570.40 | $3,715.35 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,548.82 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,071.52 | $1,548.82 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $416.87 Typical High $645.65 | Professional | 80 · Assistant surgeon | $269.15 | $416.87 | $645.65 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $346.74 Typical High $562.34 | Professional | AS · PA/NP assist | $239.88 | $346.74 | $562.34 |
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 $1,949.84 Median $2,818.38 Typical High $4,466.84 | Professional | None | $1,949.84 | $2,818.38 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $4,073.80 | Professional | None | $1,737.80 | $1,949.84 | $4,073.80 |
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 $1,548.82 Median $2,570.40 Typical High $4,365.16 | Professional | None | $1,548.82 | $2,570.40 | $4,365.16 |
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 $870.96 Median $870.96 Typical High $977.24 | Professional | 52 · Reduced service | $870.96 | $870.96 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | 53 · Discontinued | $346.74 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,380.38 |
Where Georgia sits
The same service costs 9.3 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
$2,399
AK $6,918TX $741
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.