How much rates vary
Facilitymedian $1,380 · 10th to 90th $457 to $8,913Professionalmedian $851 · 10th to 90th $676 to $1,413
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 $794.33 Median $794.33 Typical High $1,096.48 | Facility | None | $794.33 | $794.33 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,096.48 | Professional | None | $794.33 | $794.33 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $5,495.41 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,495.41 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,380.38 | Professional | None | $676.08 | $851.14 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $537.03 Typical High $870.96 | Professional | 62 · Two surgeons | $426.58 | $537.03 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $134.90 Typical High $223.87 | Professional | 80 · Assistant surgeon | $107.15 | $134.90 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $120.23 Typical High $194.98 | Professional | AS · PA/NP assist | $95.50 | $120.23 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $1,202.26 | Facility | None | $630.96 | $758.58 | $1,202.26 |
CareSource Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,230.27 | Professional | None | $741.31 | $1,047.13 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $1,380.38 | Facility | None | $34.67 | $691.83 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $5,754.40 | Professional | None | $776.25 | $1,174.90 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,479.11 | Professional | None | $758.58 | $1,071.52 | $1,479.11 |
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 $512.86 | Professional | 52 · Reduced service | $398.11 | $398.11 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | 53 · Discontinued | $158.49 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $602.56 Typical High $758.58 | Professional | 54 · Surgery only | $588.84 | $602.56 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $120.23 Typical High $151.36 | Professional | 55 · Aftercare only | $117.49 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $562.34 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $549.54 | $562.34 | $707.95 |
Where Kentucky sits
The same service costs 6.2 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.
Kentucky· 41st of 51
$871
AK $3,311TX $537
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.