How much rates vary
Facilitymedian $1,905 · 10th to 90th $617 to $7,586Professionalmedian $741 · 10th to 90th $490 to $1,288
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 $6,025.60 Typical High $13,803.84 | Facility | None | $1,348.96 | $6,025.60 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $1,445.44 | Professional | None | $537.03 | $549.54 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,202.26 Typical High $7,585.78 | Facility | None | $575.44 | $1,202.26 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,202.26 | Professional | None | $467.74 | $741.31 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,148.15 Typical High $1,862.09 | Professional | 50 · Both sides | $794.33 | $1,148.15 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $338.84 Median $478.63 Typical High $776.25 | Professional | 62 · Two surgeons | $338.84 | $478.63 | $776.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $128.82 Typical High $199.53 | Professional | 80 · Assistant surgeon | $87.10 | $128.82 | $199.53 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $107.15 Typical High $173.78 | Professional | AS · PA/NP assist | $74.13 | $107.15 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $2,691.53 | Facility | None | $602.56 | $1,949.84 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,380.38 | Professional | None | $602.56 | $851.14 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $1,737.80 | Professional | None | $575.44 | $645.65 | $1,737.80 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,943.28 | Facility | None | $954.99 | $1,995.26 | $7,943.28 |
United Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Professional | None | $478.63 | $776.25 | $1,348.96 |
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 $269.15 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $457.09 | Professional | 54 · Surgery only | $398.11 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $53.70 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $426.58 |
Where Georgia sits
The same service costs 4.5 times more in Connecticut 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
CT $7,632MT $1,703
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.