How much rates vary
Facilitymedian $2,951 · 10th to 90th $832 to $8,913Professionalmedian $794 · 10th to 90th $646 to $1,259
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 $660.69 Median $831.76 Typical High $8,317.64 | Facility | None | $660.69 | $831.76 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $977.24 | Professional | None | $660.69 | $758.58 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $3,311.31 Typical High $9,332.54 | Facility | None | $1,071.52 | $3,311.31 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,202.26 | Professional | None | $630.96 | $794.33 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,174.90 Typical High $1,819.70 | Professional | 50 · Both sides | $954.99 | $1,174.90 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $501.19 Typical High $758.58 | Professional | 62 · Two surgeons | $398.11 | $501.19 | $758.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $125.89 Typical High $194.98 | Professional | 80 · Assistant surgeon | $102.33 | $125.89 | $194.98 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $109.65 Typical High $169.82 | Professional | AS · PA/NP assist | $89.13 | $109.65 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $7,943.28 | Facility | None | $707.95 | $1,148.15 | $7,943.28 |
CareSource Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,202.26 | Professional | None | $724.44 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,290.87 Typical High $6,165.95 | Facility | None | $891.25 | $2,290.87 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $5,128.61 | Professional | None | $741.31 | $954.99 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $501.19 | Professional | None | $33.11 | $33.11 | $501.19 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $7,943.28 | Facility | None | $977.24 | $1,862.09 | $7,943.28 |
United Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,380.38 | Professional | None | $741.31 | $912.01 | $1,380.38 |
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 $331.13 Median $380.19 Typical High $489.78 | Professional | 52 · Reduced service | $331.13 | $380.19 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $194.98 | Professional | 53 · Discontinued | $131.83 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $562.34 Typical High $724.44 | Professional | 54 · Surgery only | $501.19 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $114.82 Typical High $147.91 | Professional | 55 · Aftercare only | $100.00 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $75.86 Typical High $97.72 | Professional | 56 · Pre-op care only | $66.07 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $524.81 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $467.74 | $524.81 | $676.08 |
Where Kentucky 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.