How much rates vary
Facilitymedian $1,514 · 10th to 90th $631 to $5,754Professionalmedian $1,778 · 10th to 90th $1,148 to $2,951
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 $1,318.26 Median $5,370.32 Typical High $10,000.00 | Facility | None | $1,318.26 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,288.25 | $1,318.26 | $1,584.89 |
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 $1,148.15 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,778.28 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,691.53 Typical High $4,466.84 | Professional | 50 · Both sides | $1,905.46 | $2,691.53 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $309.03 Typical High $478.63 | Professional | 80 · Assistant surgeon | $199.53 | $309.03 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $257.04 Typical High $416.87 | Professional | AS · PA/NP assist | $181.97 | $257.04 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,570.40 | Facility | None | $1,071.52 | $1,513.56 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,479.11 | $2,137.96 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $8,511.38 | Professional | None | $1,318.26 | $1,479.11 | $8,511.38 |
Oscar Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,202.26 | $1,905.46 | $3,311.31 |
2 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 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,023.29 |
Where Georgia sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.