How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,318 to $10,965Professionalmedian $1,413 · 10th to 90th $1,148 to $3,236
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 $1,698.24 Median $5,623.41 Typical High $10,715.19 | Facility | None | $1,698.24 | $5,623.41 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,174.90 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,380.38 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,348.96 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $1,995.26 Typical High $3,388.44 | Professional | 50 · Both sides | $1,698.24 | $1,995.26 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $851.14 Typical High $1,412.54 | Professional | 62 · Two surgeons | $724.44 | $851.14 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $213.80 Typical High $354.81 | Professional | 80 · Assistant surgeon | $181.97 | $213.80 | $354.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $186.21 Typical High $316.23 | Professional | AS · PA/NP assist | $158.49 | $186.21 | $316.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,148.15 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,311.31 Typical High $4,365.16 | Facility | None | $758.58 | $3,311.31 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $2,884.03 | Professional | None | $1,071.52 | $1,288.25 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $4,365.16 Typical High $26,302.68 | Facility | None | $1,258.93 | $4,365.16 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $8,709.64 | Professional | None | $1,412.54 | $2,290.87 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,981.07 Typical High $8,709.64 | Facility | None | $1,258.93 | $3,981.07 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,621.81 | $2,511.89 |
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 $537.03 Median $588.84 Typical High $645.65 | Professional | 52 · Reduced service | $537.03 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $234.42 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $870.96 Typical High $954.99 | Professional | 54 · Surgery only | $812.83 | $870.96 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $194.98 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | 56 · Pre-op care only | $107.15 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $812.83 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $758.58 | $812.83 | $891.25 |
Where Missouri sits
The same service costs 6.8 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.
Missouri· 28th of 51
$1,660
AK $4,786TX $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.