How much rates vary
Facilitymedian $3,311 · 10th to 90th $759 to $12,589Professionalmedian $871 · 10th to 90th $603 to $1,479
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 $1,071.52 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,071.52 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,659.59 | Professional | None | $630.96 | $630.96 | $1,659.59 |
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 $602.56 Median $870.96 Typical High $1,412.54 | Professional | None | $602.56 | $870.96 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,348.96 Typical High $2,187.76 | Professional | 50 · Both sides | $933.25 | $1,348.96 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $562.34 Typical High $933.25 | Professional | 62 · Two surgeons | $389.05 | $562.34 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $158.49 Typical High $234.42 | Professional | 80 · Assistant surgeon | $97.72 | $158.49 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $125.89 Typical High $204.17 | Professional | AS · PA/NP assist | $87.10 | $125.89 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $10,471.29 Typical High $13,489.63 | Facility | None | $741.31 | $10,471.29 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,621.81 | Professional | None | $691.83 | $1,023.29 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,348.96 | Professional | None | $645.65 | $724.44 | $1,348.96 |
Oscar Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $10,000.00 | Facility | None | $1,513.56 | $3,715.35 | $10,000.00 |
United Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,584.89 | Professional | None | $575.44 | $954.99 | $1,584.89 |
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 $316.23 Median $316.23 Typical High $354.81 | Professional | 52 · Reduced service | $316.23 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $478.63 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $95.50 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $446.68 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $436.52 | $446.68 | $501.19 |
Where Georgia sits
The same service costs 10.1 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 $19,890MT $1,977
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.