How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,047 to $10,000Professionalmedian $1,549 · 10th to 90th $977 to $2,570
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 $1,122.02 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,122.02 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,122.02 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $11,220.18 | Facility | None | $1,071.52 | $1,905.46 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,511.89 | Professional | None | $954.99 | $1,548.82 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $2,290.87 Typical High $3,715.35 | Professional | 50 · Both sides | $1,621.81 | $2,290.87 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $257.04 Typical High $416.87 | Professional | 80 · Assistant surgeon | $169.82 | $257.04 | $416.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $213.80 Typical High $346.74 | Professional | AS · PA/NP assist | $147.91 | $213.80 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,248.07 Typical High $6,760.83 | Facility | None | $602.56 | $5,248.07 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,698.24 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,288.25 | $2,137.96 |
Oscar Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,698.24 | $1,698.24 | $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 $954.99 Median $1,548.82 Typical High $2,818.38 | Professional | None | $954.99 | $1,548.82 | $2,818.38 |
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 $549.54 Median $562.34 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $851.14 Typical High $954.99 | Professional | 54 · Surgery only | $831.76 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $169.82 Typical High $190.55 | Professional | 55 · Aftercare only | $165.96 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $794.33 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $776.25 | $794.33 | $891.25 |
Where Georgia sits
The same service costs 13.8 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· 20th of 51
$1,549
AK $4,467TX $324
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.