How much rates vary
Facilitymedian $3,020 · 10th to 90th $851 to $11,220Professionalmedian $1,148 · 10th to 90th $759 to $1,950
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 $1,380.38 Median $6,309.57 Typical High $18,197.01 | Facility | None | $1,380.38 | $6,309.57 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,288.25 | Professional | None | $851.14 | $851.14 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,737.80 Typical High $13,803.84 | Facility | None | $812.83 | $1,737.80 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,862.09 | Professional | None | $724.44 | $1,148.15 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,230.27 Median $1,778.28 Typical High $2,818.38 | Professional | 50 · Both sides | $1,230.27 | $1,778.28 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $524.81 Median $741.31 Typical High $1,202.26 | Professional | 62 · Two surgeons | $524.81 | $741.31 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $199.53 Typical High $316.23 | Professional | 80 · Assistant surgeon | $131.83 | $199.53 | $316.23 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $162.18 Typical High $269.15 | Professional | AS · PA/NP assist | $114.82 | $162.18 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $7,413.10 Typical High $9,549.93 | Facility | None | $812.83 | $7,413.10 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,187.76 | Professional | None | $954.99 | $1,318.26 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $2,089.30 | Professional | None | $870.96 | $977.24 | $2,089.30 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,288.25 | $1,445.44 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,019.95 Typical High $8,709.64 | Facility | None | $1,258.93 | $3,019.95 | $8,709.64 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,089.30 | Professional | None | $741.31 | $1,202.26 | $2,089.30 |
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 $426.58 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | 54 · Surgery only | $630.96 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $125.89 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $660.69 |
Where Georgia sits
The same service costs 16.2 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
$1,202
AK $3,388TX $209
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.