How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,318 to $10,965Professionalmedian $1,660 · 10th to 90th $1,148 to $4,169
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 $1,122.02 Median $1,202.26 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,202.26 | $1,949.84 |
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 $1,659.59 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,659.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $2,454.71 Typical High $3,388.44 | Professional | 50 · Both sides | $1,737.80 | $2,454.71 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $1,047.13 Typical High $1,412.54 | Professional | 62 · Two surgeons | $724.44 | $1,047.13 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $263.03 Typical High $371.54 | Professional | 80 · Assistant surgeon | $186.21 | $263.03 | $371.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $229.09 Typical High $316.23 | Professional | AS · PA/NP assist | $162.18 | $229.09 | $316.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,174.90 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,801.89 Typical High $5,495.41 | Facility | None | $758.58 | $3,801.89 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,318.26 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $4,365.16 Typical High $26,302.68 | Facility | None | $1,288.25 | $4,365.16 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $8,912.51 | Professional | None | $1,288.25 | $2,398.83 | $8,912.51 |
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 $1,698.24 Typical High $2,630.27 | Professional | None | $1,202.26 | $1,698.24 | $2,630.27 |
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 $562.34 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $562.34 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $239.88 Typical High $251.19 | Professional | 53 · Discontinued | $223.87 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $912.01 Typical High $933.25 | Professional | 54 · Surgery only | $831.76 | $912.01 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $181.97 Typical High $186.21 | Professional | 55 · Aftercare only | $165.96 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $112.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $851.14 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $776.25 | $851.14 | $870.96 |
Where Missouri sits
The same service costs 6.6 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· 29th of 51
$1,660
AK $4,898TX $741
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.