How much rates vary
Facilitymedian $3,311 · 10th to 90th $776 to $11,749Professionalmedian $1,820 · 10th to 90th $1,259 to $3,090
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 $1,348.96 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,348.96 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $3,548.13 | Professional | None | $1,318.26 | $1,348.96 | $3,548.13 |
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 $1,258.93 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,258.93 | $1,819.70 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $2,754.23 Typical High $4,365.16 | Professional | 50 · Both sides | $1,949.84 | $2,754.23 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $1,148.15 Typical High $1,862.09 | Professional | 62 · Two surgeons | $812.83 | $1,148.15 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $302.00 Typical High $489.78 | Professional | 80 · Assistant surgeon | $204.17 | $302.00 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $257.04 Typical High $407.38 | Professional | AS · PA/NP assist | $181.97 | $257.04 | $407.38 |
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 $1,479.11 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,479.11 | $1,995.26 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $2,951.21 | Professional | None | $1,380.38 | $1,513.56 | $2,951.21 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,288.25 | $2,290.87 | $2,884.03 |
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 $1,148.15 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,148.15 | $1,905.46 | $3,311.31 |
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 $660.69 Median $676.08 Typical High $741.31 | Professional | 52 · Reduced service | $660.69 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $269.15 Typical High $295.12 | Professional | 53 · Discontinued | $263.03 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,000.00 Typical High $1,122.02 | Professional | 54 · Surgery only | $977.24 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $199.53 Typical High $223.87 | Professional | 55 · Aftercare only | $194.98 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $134.90 Typical High $147.91 | Professional | 56 · Pre-op care only | $131.83 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $933.25 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $912.01 | $933.25 | $1,047.13 |
Where Georgia sits
The same service costs 7.4 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· 24th of 51
$1,820
AK $5,248TX $708
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.