How much rates vary
Facilitymedian $2,692 · 10th to 90th $525 to $8,913Professionalmedian $3,388 · 10th to 90th $2,239 to $7,943
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 $2,238.72 Median $4,897.79 Typical High $7,762.47 | Facility | None | $2,238.72 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,238.72 | $2,570.40 | $3,311.31 |
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 $2,344.23 Median $3,235.94 Typical High $4,365.16 | Professional | None | $2,344.23 | $3,235.94 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $2,041.74 Typical High $2,754.23 | Professional | 62 · Two surgeons | $1,445.44 | $2,041.74 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $524.81 Typical High $707.95 | Professional | 80 · Assistant surgeon | $371.54 | $524.81 | $707.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $323.59 Median $457.09 Typical High $616.60 | Professional | AS · PA/NP assist | $323.59 | $457.09 | $616.60 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,187.76 | $2,884.03 |
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 $2,041.74 Median $2,754.23 Typical High $6,165.95 | Professional | None | $2,041.74 | $2,754.23 | $6,165.95 |
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 $3,019.95 Median $5,623.41 Typical High $15,135.61 | Professional | None | $3,019.95 | $5,623.41 | $15,135.61 |
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 $2,398.83 Median $3,801.89 Typical High $6,456.54 | Professional | None | $2,398.83 | $3,801.89 | $6,456.54 |
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 $1,122.02 Median $1,288.25 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,122.02 | $1,288.25 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $512.86 Typical High $549.54 | Professional | 53 · Discontinued | $446.68 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,949.84 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,659.59 | $1,949.84 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $389.05 Typical High $416.87 | Professional | 55 · Aftercare only | $331.13 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $257.04 Typical High $275.42 | Professional | 56 · Pre-op care only | $223.87 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,819.70 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,819.70 | $1,949.84 |
Where Missouri sits
The same service costs 7.3 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $20,260WA $2,785
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.