How much rates vary
Facilitymedian $2,692 · 10th to 90th $525 to $8,710Professionalmedian $3,548 · 10th to 90th $2,344 to $9,120
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 $2,344.23 Median $4,897.79 Typical High $7,762.47 | Facility | None | $2,344.23 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $2,884.03 | Professional | None | $2,344.23 | $2,754.23 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,479.11 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $4,786.30 | Professional | None | $2,454.71 | $3,388.44 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $2,137.96 Typical High $2,951.21 | Professional | 62 · Two surgeons | $1,548.82 | $2,137.96 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $549.54 Typical High $758.58 | Professional | 80 · Assistant surgeon | $389.05 | $549.54 | $758.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $478.63 Typical High $660.69 | Professional | AS · PA/NP assist | $346.74 | $478.63 | $660.69 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,290.87 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $6,606.93 | Professional | None | $2,137.96 | $2,884.03 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,380.38 Typical High $11,220.18 | Facility | None | $54.95 | $1,380.38 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $6,025.60 Typical High $23,442.29 | Professional | None | $3,090.30 | $6,025.60 | $23,442.29 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $6,760.83 | Professional | None | $2,570.40 | $3,981.07 | $6,760.83 |
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 $1,174.90 Median $1,348.96 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,174.90 | $1,348.96 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $549.54 Typical High $588.84 | Professional | 53 · Discontinued | $467.74 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,041.74 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,778.28 | $2,041.74 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $407.38 Typical High $436.52 | Professional | 55 · Aftercare only | $354.81 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $275.42 Typical High $288.40 | Professional | 56 · Pre-op care only | $234.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,905.46 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,905.46 | $2,041.74 |
Where Missouri 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.
Missouri· 17th of 51
$3,311
AK $9,120TX $1,479
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.