How much rates vary
Facilitymedian $1,862 · 10th to 90th $708 to $6,607Professionalmedian $832 · 10th to 90th $550 to $1,413
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 $5,370.32 Typical High $8,317.64 | Facility | None | $1,202.26 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $5,754.40 | Facility | None | $676.08 | $1,348.96 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,348.96 | Professional | None | $524.81 | $831.76 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,288.25 Typical High $2,041.74 | Professional | 50 · Both sides | $891.25 | $1,288.25 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $371.54 Median $537.03 Typical High $851.14 | Professional | 62 · Two surgeons | $371.54 | $537.03 | $851.14 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $151.36 Typical High $229.09 | Professional | 80 · Assistant surgeon | $109.65 | $151.36 | $229.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $117.49 Typical High $199.53 | Professional | AS · PA/NP assist | $85.11 | $117.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,949.84 Typical High $2,951.21 | Facility | None | $741.31 | $1,949.84 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,584.89 | Professional | None | $676.08 | $933.25 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $2,089.30 | Professional | None | $630.96 | $707.95 | $2,089.30 |
Oscar Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $1,584.89 | Professional | None | $524.81 | $870.96 | $1,584.89 |
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 $302.00 Median $302.00 Typical High $338.84 | Professional | 52 · Reduced service | $302.00 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $123.03 Typical High $134.90 | Professional | 53 · Discontinued | $120.23 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $457.09 Typical High $501.19 | Professional | 54 · Surgery only | $446.68 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $426.58 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $416.87 | $426.58 | $467.74 |
Where Georgia sits
The same service costs 14.1 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· 22nd of 51
$871
AK $2,455TX $174
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.