How much rates vary
Facilitymedian $3,090 · 10th to 90th $631 to $7,244Professionalmedian $1,698 · 10th to 90th $1,096 to $2,884
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 $1,258.93 Median $6,309.57 Typical High $10,000.00 | Facility | None | $1,258.93 | $6,309.57 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,258.93 | $1,513.56 |
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 $1,047.13 Median $1,698.24 Typical High $2,754.23 | Professional | None | $1,047.13 | $1,698.24 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,630.27 Typical High $4,265.80 | Professional | 50 · Both sides | $1,819.70 | $2,630.27 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,096.48 Typical High $1,778.28 | Professional | 62 · Two surgeons | $758.58 | $1,096.48 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $295.12 Typical High $467.74 | Professional | 80 · Assistant surgeon | $194.98 | $295.12 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $245.47 Typical High $398.11 | Professional | AS · PA/NP assist | $169.82 | $245.47 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $5,495.41 Typical High $6,918.31 | Facility | None | $630.96 | $5,495.41 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,412.54 | $1,949.84 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $3,162.28 | Professional | None | $1,258.93 | $1,445.44 | $3,162.28 |
Oscar Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,187.76 | Professional | None | $2,137.96 | $2,137.96 | $2,187.76 |
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 $1,096.48 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,096.48 | $1,819.70 | $3,090.30 |
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 $616.60 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $616.60 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $281.84 | Professional | 53 · Discontinued | $251.19 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $125.89 Typical High $141.25 | Professional | 56 · Pre-op care only | $123.03 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $977.24 |
Where Georgia sits
The same service costs 8.7 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.
Georgia· 23rd of 51
$1,698
AK $5,012TX $575
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.