How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $7,413Professionalmedian $1,622 · 10th to 90th $1,047 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 $5,623.41 Typical High $10,000.00 | Facility | None | $1,202.26 | $5,623.41 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
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 $1,047.13 Median $1,621.81 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,621.81 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,570.40 Typical High $4,168.69 | Professional | 50 · Both sides | $1,778.28 | $2,570.40 | $4,168.69 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,071.52 Typical High $1,778.28 | Professional | 62 · Two surgeons | $758.58 | $1,071.52 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $288.40 Typical High $446.68 | Professional | 80 · Assistant surgeon | $186.21 | $288.40 | $446.68 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $239.88 Typical High $389.05 | Professional | AS · PA/NP assist | $165.96 | $239.88 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $5,495.41 Typical High $6,918.31 | Facility | None | $630.96 | $5,495.41 | $6,918.31 |
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 $3,630.78 | Professional | None | $1,202.26 | $1,348.96 | $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 $1,071.52 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,737.80 | $3,019.95 |
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 $912.01 Median $912.01 Typical High $1,023.29 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 55 · Aftercare only | $181.97 | $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 $851.14 Median $851.14 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $954.99 |
Where Georgia sits
The same service costs 5.5 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.
Physician feeFacility fee
AK $14,559TX $2,668
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.