How much rates vary
Facilitymedian $2,138 · 10th to 90th $631 to $9,120Professionalmedian $1,122 · 10th to 90th $759 to $1,905
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 $812.83 Median $5,370.32 Typical High $7,943.28 | Facility | None | $812.83 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $2,137.96 | Professional | None | $812.83 | $812.83 | $2,137.96 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $1,412.54 Typical High $1,412.54 | Professional | None | $186.21 | $1,412.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,778.28 | Professional | None | $758.58 | $1,096.48 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,230.27 Median $1,737.80 Typical High $2,754.23 | Professional | 50 · Both sides | $1,230.27 | $1,737.80 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $512.86 Median $741.31 Typical High $1,174.90 | Professional | 62 · Two surgeons | $512.86 | $741.31 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $204.17 Typical High $295.12 | Professional | 80 · Assistant surgeon | $125.89 | $204.17 | $295.12 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $162.18 Typical High $257.04 | Professional | AS · PA/NP assist | $114.82 | $162.18 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,995.26 Typical High $2,691.53 | Facility | None | $630.96 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,041.74 | Professional | None | $912.01 | $1,318.26 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $2,187.76 | Professional | None | $812.83 | $933.25 | $2,187.76 |
Oscar Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $724.44 Median $1,174.90 Typical High $2,041.74 | Professional | None | $724.44 | $1,174.90 | $2,041.74 |
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 $407.38 Median $407.38 Typical High $457.09 | Professional | 52 · Reduced service | $407.38 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | 53 · Discontinued | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | 54 · Surgery only | $602.56 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $645.65 |
Where Georgia sits
The same service costs 4.3 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.
Physician feeFacility fee
AK $9,769TX $2,271
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.