How much rates vary
Facilitymedian $1,514 · 10th to 90th $631 to $5,754Professionalmedian $575 · 10th to 90th $380 to $1,000
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 $426.58 Median $5,370.32 Typical High $7,943.28 | Facility | None | $426.58 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $1,122.02 | Professional | None | $426.58 | $446.68 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $776.25 Typical High $776.25 | Professional | None | $288.40 | $776.25 | $776.25 |
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 $371.54 Median $575.44 Typical High $933.25 | Professional | None | $371.54 | $575.44 | $933.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $891.25 Typical High $1,412.54 | Professional | 50 · Both sides | $616.60 | $891.25 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $104.71 Typical High $158.49 | Professional | 80 · Assistant surgeon | $66.07 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $83.18 Typical High $138.04 | Professional | AS · PA/NP assist | $58.88 | $83.18 | $138.04 |
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 $478.63 Median $691.83 Typical High $1,071.52 | Professional | None | $478.63 | $691.83 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $2,137.96 | Professional | None | $446.68 | $501.19 | $2,137.96 |
Oscar Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | None | $741.31 | $741.31 | $758.58 |
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 $389.05 Median $616.60 Typical High $1,096.48 | Professional | None | $389.05 | $616.60 | $1,096.48 |
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 $316.23 Median $316.23 Typical High $354.81 | Professional | 54 · Surgery only | $316.23 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $331.13 |
Where Georgia sits
The same service costs 5.1 times more in Colorado than in Montana. 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
CO $6,741MT $1,322
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.