How much rates vary
Facilitymedian $1,514 · 10th to 90th $631 to $5,754Professionalmedian $1,445 · 10th to 90th $933 to $2,455
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 $1,047.13 Median $5,370.32 Typical High $10,000.00 | Facility | None | $1,047.13 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,047.13 | $1,047.13 | $1,258.93 |
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 $891.25 Median $1,445.44 Typical High $2,344.23 | Professional | None | $891.25 | $1,445.44 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,238.72 Typical High $3,548.13 | Professional | 50 · Both sides | $1,548.82 | $2,238.72 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $257.04 Typical High $398.11 | Professional | 80 · Assistant surgeon | $165.96 | $257.04 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $208.93 Typical High $331.13 | Professional | AS · PA/NP assist | $144.54 | $208.93 | $331.13 |
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 $1,202.26 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,202.26 | $1,659.59 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $5,495.41 | Professional | None | $1,071.52 | $1,230.27 | $5,495.41 |
Oscar Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $1,862.09 | Professional | None | $1,621.81 | $1,819.70 | $1,862.09 |
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 $933.25 Median $1,548.82 Typical High $2,754.23 | Professional | None | $933.25 | $1,548.82 | $2,754.23 |
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 $794.33 Median $794.33 Typical High $891.25 | Professional | 54 · Surgery only | $794.33 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $831.76 |
Where Georgia sits
The same service costs 3.7 times more in Alabama than in Maryland. 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
AL $8,874MD $2,372
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.