How much rates vary
Facilitymedian $3,236 · 10th to 90th $631 to $8,913Professionalmedian $1,585 · 10th to 90th $1,047 to $2,692
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 $6,760.83 Typical High $18,197.01 | Facility | None | $1,202.26 | $6,760.83 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,174.90 | $3,090.30 |
Ambetter Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $10,232.93 | Facility | None | $575.44 | $1,148.15 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,584.89 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $2,454.71 Typical High $4,073.80 | Professional | 50 · Both sides | $1,698.24 | $2,454.71 | $4,073.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $1,023.29 Typical High $1,698.24 | Professional | 62 · Two surgeons | $707.95 | $1,023.29 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $281.84 Typical High $436.52 | Professional | 80 · Assistant surgeon | $181.97 | $281.84 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $229.09 Typical High $380.19 | Professional | AS · PA/NP assist | $158.49 | $229.09 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,754.40 Typical High $7,585.78 | Facility | None | $602.56 | $5,754.40 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,862.09 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,318.26 | $2,951.21 |
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 $1,023.29 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,023.29 | $1,698.24 | $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 $575.44 Median $575.44 Typical High $645.65 | Professional | 52 · Reduced service | $575.44 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $263.03 | Professional | 53 · Discontinued | $234.42 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $977.24 | Professional | 54 · Surgery only | $870.96 | $870.96 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $117.49 Typical High $128.82 | Professional | 56 · Pre-op care only | $114.82 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $912.01 |
Where Georgia sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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 $14,343KY $2,808
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.