How much rates vary
Facilitymedian $3,311 · 10th to 90th $776 to $11,749Professionalmedian $1,259 · 10th to 90th $813 to $2,138
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 $1,202.26 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,202.26 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $2,454.71 | Professional | None | $912.01 | $933.25 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $11,748.98 | Facility | None | $707.95 | $1,659.59 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,041.74 | Professional | None | $812.83 | $1,258.93 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,949.84 Typical High $3,162.28 | Professional | 50 · Both sides | $1,380.38 | $1,949.84 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $831.76 Typical High $1,318.26 | Professional | 62 · Two surgeons | $575.44 | $831.76 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $218.78 Typical High $346.74 | Professional | 80 · Assistant surgeon | $144.54 | $218.78 | $346.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $181.97 Typical High $295.12 | Professional | AS · PA/NP assist | $128.82 | $181.97 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $9,772.37 Typical High $12,302.69 | Facility | None | $741.31 | $9,772.37 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,445.44 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $2,630.27 | Professional | None | $933.25 | $1,047.13 | $2,630.27 |
Oscar Health Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $1,905.46 | Professional | None | $912.01 | $1,548.82 | $1,905.46 |
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 $812.83 Median $1,318.26 Typical High $2,344.23 | Professional | None | $812.83 | $1,318.26 | $2,344.23 |
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 $457.09 Median $457.09 Typical High $512.86 | Professional | 52 · Reduced service | $457.09 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | 53 · Discontinued | $181.97 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $776.25 | Professional | 54 · Surgery only | $691.83 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $91.20 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $724.44 |
Where Georgia sits
The same service costs 6.8 times more in Alaska 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
AK $19,480MT $2,858
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.