How much rates vary
Facilitymedian $3,631 · 10th to 90th $776 to $10,233Professionalmedian $1,096 · 10th to 90th $724 to $1,862
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 $1,445.44 Median $6,760.83 Typical High $13,803.84 | Facility | None | $1,445.44 | $6,760.83 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $2,137.96 | Professional | None | $794.33 | $812.83 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $11,481.54 | Facility | None | $707.95 | $1,659.59 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,778.28 | Professional | None | $724.44 | $1,096.48 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,698.24 Typical High $2,818.38 | Professional | 50 · Both sides | $1,202.26 | $1,698.24 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $501.19 Median $724.44 Typical High $1,174.90 | Professional | 62 · Two surgeons | $501.19 | $724.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $194.98 Typical High $302.00 | Professional | 80 · Assistant surgeon | $128.82 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $158.49 Typical High $263.03 | Professional | AS · PA/NP assist | $112.20 | $158.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,888.44 Typical High $8,511.38 | Facility | None | $741.31 | $5,888.44 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $2,041.74 | Professional | None | $891.25 | $1,258.93 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $2,187.76 | Professional | None | $831.76 | $933.25 | $2,187.76 |
Oscar Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,380.38 | $1,412.54 | $1,412.54 |
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 $707.95 Median $1,174.90 Typical High $1,995.26 | Professional | None | $707.95 | $1,174.90 | $1,995.26 |
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 $398.11 Median $398.11 Typical High $446.68 | Professional | 52 · Reduced service | $398.11 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $162.18 Typical High $177.83 | Professional | 53 · Discontinued | $158.49 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $676.08 | Professional | 54 · Surgery only | $602.56 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $81.28 Typical High $89.13 | Professional | 56 · Pre-op care only | $79.43 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $630.96 |
Where Georgia sits
The same service costs 5.9 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 $14,644MT $2,489
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.