How much rates vary
Facilitymedian $2,818 · 10th to 90th $776 to $10,000Professionalmedian $1,349 · 10th to 90th $871 to $2,291
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 $18,197.01 | Facility | None | $1,202.26 | $5,623.41 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,000.00 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,584.89 Typical High $12,302.69 | Facility | None | $707.95 | $1,584.89 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,187.76 | Professional | None | $870.96 | $1,348.96 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $2,137.96 Typical High $3,467.37 | Professional | 50 · Both sides | $1,479.11 | $2,137.96 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $891.25 Typical High $1,445.44 | Professional | 62 · Two surgeons | $616.60 | $891.25 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $234.42 Typical High $371.54 | Professional | 80 · Assistant surgeon | $154.88 | $234.42 | $371.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $199.53 Typical High $323.59 | Professional | AS · PA/NP assist | $138.04 | $199.53 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,073.80 Typical High $5,370.32 | Facility | None | $741.31 | $4,073.80 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,096.48 | $1,548.82 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,884.03 | Professional | None | $1,023.29 | $1,148.15 | $2,884.03 |
Oscar Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,698.24 | $1,698.24 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,630.27 | Professional | None | $870.96 | $1,445.44 | $2,630.27 |
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 $489.78 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $489.78 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $194.98 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | 54 · Surgery only | $741.31 | $741.31 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $100.00 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $776.25 |
Where Georgia sits
The same service costs 7.9 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
$1,413
AK $3,981TX $501
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.