How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,096 to $8,318Professionalmedian $1,479 · 10th to 90th $1,122 to $3,467
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 $2,089.30 Median $5,623.41 Typical High $8,709.64 | Facility | None | $2,089.30 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,230.27 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,445.44 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,137.96 Typical High $2,951.21 | Professional | 50 · Both sides | $1,819.70 | $2,137.96 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $891.25 Typical High $1,230.27 | Professional | 62 · Two surgeons | $758.58 | $891.25 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $229.09 Typical High $316.23 | Professional | 80 · Assistant surgeon | $194.98 | $229.09 | $316.23 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $199.53 Typical High $275.42 | Professional | AS · PA/NP assist | $169.82 | $199.53 | $275.42 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,202.26 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,786.30 Typical High $6,918.31 | Facility | None | $707.95 | $4,786.30 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,318.26 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,090.30 Typical High $7,585.78 | Facility | None | $54.95 | $3,090.30 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $10,715.19 | Professional | None | $1,202.26 | $2,089.30 | $10,715.19 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,570.88 Typical High $13,489.63 | Facility | None | $977.24 | $4,570.88 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,548.82 | $2,398.83 |
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 $512.86 Median $616.60 Typical High $676.08 | Professional | 52 · Reduced service | $512.86 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $245.47 Typical High $269.15 | Professional | 53 · Discontinued | $204.17 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $912.01 Typical High $1,023.29 | Professional | 54 · Surgery only | $776.25 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $186.21 Typical High $204.17 | Professional | 55 · Aftercare only | $154.88 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $123.03 Typical High $134.90 | Professional | 56 · Pre-op care only | $102.33 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $851.14 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $724.44 | $851.14 | $954.99 |
Where Missouri 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.
Missouri· 32nd of 51
$1,514
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.