How much rates vary
Facilitymedian $2,512 · 10th to 90th $525 to $8,913Professionalmedian $1,905 · 10th to 90th $1,259 to $5,012
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 $1,513.56 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,513.56 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,513.56 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $3,467.37 Typical High $7,762.47 | Facility | None | $1,479.11 | $3,467.37 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,258.93 | $1,905.46 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,818.38 Typical High $3,890.45 | Professional | 50 · Both sides | $1,905.46 | $2,818.38 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,202.26 Typical High $1,621.81 | Professional | 62 · Two surgeons | $794.33 | $1,202.26 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $302.00 Typical High $416.87 | Professional | 80 · Assistant surgeon | $204.17 | $302.00 | $416.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $263.03 Typical High $363.08 | Professional | AS · PA/NP assist | $177.83 | $263.03 | $363.08 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,318.26 | $1,778.28 |
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 $1,174.90 Median $1,584.89 Typical High $3,630.78 | Professional | None | $1,174.90 | $1,584.89 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,348.96 Typical High $11,220.18 | Facility | None | $54.95 | $1,348.96 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $8,912.51 | Professional | None | $1,659.59 | $3,311.31 | $8,912.51 |
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 $1,412.54 Median $2,187.76 Typical High $3,801.89 | Professional | None | $1,412.54 | $2,187.76 | $3,801.89 |
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 $645.65 Median $758.58 Typical High $812.83 | Professional | 52 · Reduced service | $645.65 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $263.03 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,122.02 Typical High $1,202.26 | Professional | 54 · Surgery only | $977.24 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $229.09 Typical High $239.88 | Professional | 55 · Aftercare only | $194.98 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $131.83 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,047.13 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $912.01 | $1,047.13 | $1,122.02 |
Where Missouri sits
The same service costs 4.8 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· 14th of 51
$2,042
AK $5,012TX $1,047
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.