How much rates vary
Facilitymedian $4,169 · 10th to 90th $631 to $12,882Professionalmedian $2,291 · 10th to 90th $1,445 to $3,890
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 $1,698.24 Median $7,079.46 Typical High $13,803.84 | Facility | None | $1,698.24 | $7,079.46 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,659.59 | $1,698.24 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $7,762.47 | Facility | None | $575.44 | $1,148.15 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $3,715.35 | Professional | None | $1,380.38 | $2,290.87 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,454.71 Median $3,548.13 Typical High $5,754.40 | Professional | 50 · Both sides | $2,454.71 | $3,548.13 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,513.56 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,023.29 | $1,513.56 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $398.11 Typical High $630.96 | Professional | 80 · Assistant surgeon | $263.03 | $398.11 | $630.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $331.13 Typical High $549.54 | Professional | AS · PA/NP assist | $229.09 | $331.13 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $10,715.19 Typical High $13,182.57 | Facility | None | $630.96 | $10,715.19 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,691.53 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,659.59 | $1,905.46 | $3,311.31 |
Oscar Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $6,760.83 Typical High $12,882.50 | Facility | None | $1,513.56 | $6,760.83 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $4,168.69 | Professional | None | $1,479.11 | $2,454.71 | $4,168.69 |
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 $851.14 Median $851.14 Typical High $954.99 | Professional | 52 · Reduced service | $851.14 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | 53 · Discontinued | $338.84 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $281.84 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,318.26 |
Where Georgia sits
The same service costs 17.0 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· 24th of 51
$2,291
AK $6,607TX $389
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.