How much rates vary
Facilitymedian $2,089 · 10th to 90th $562 to $11,749Professionalmedian $1,585 · 10th to 90th $1,023 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 $1,174.90 Median $5,011.87 Typical High $7,943.28 | Facility | None | $1,174.90 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,174.90 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $6,309.57 | Professional | None | $1,096.48 | $6,309.57 | $6,309.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,548.82 Typical High $11,748.98 | Facility | None | $512.86 | $1,548.82 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,570.40 | Professional | None | $954.99 | $1,584.89 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $2,398.83 Typical High $3,890.45 | Professional | 50 · Both sides | $1,698.24 | $2,398.83 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $1,000.00 Typical High $1,621.81 | Professional | 62 · Two surgeons | $724.44 | $1,000.00 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $257.04 Typical High $436.52 | Professional | 80 · Assistant surgeon | $181.97 | $257.04 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $223.87 Typical High $363.08 | Professional | AS · PA/NP assist | $158.49 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $9,772.37 Typical High $12,302.69 | Facility | None | $524.81 | $9,772.37 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,348.96 | $1,819.70 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,348.96 | $2,511.89 |
Oscar Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,951.21 | Professional | None | $977.24 | $1,659.59 | $2,951.21 |
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 $588.84 Median $588.84 Typical High $660.69 | Professional | 52 · Reduced service | $588.84 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $239.88 Typical High $269.15 | Professional | 53 · Discontinued | $234.42 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $933.25 |
Where Georgia sits
The same service costs 6.9 times more in Alaska than in Hawaii. 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 $18,481HI $2,671
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.