How much rates vary
Facilitymedian $912 · 10th to 90th $501 to $6,166Professionalmedian $2,344 · 10th to 90th $1,549 to $4,074
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 $1,819.70 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,819.70 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $2,290.87 | Professional | None | $1,778.28 | $1,819.70 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $7,244.36 | Facility | None | $691.83 | $1,348.96 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,513.56 | $2,511.89 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,890.45 Typical High $5,888.44 | Professional | 50 · Both sides | $2,570.40 | $3,890.45 | $5,888.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,621.81 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,071.52 | $1,621.81 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $275.42 Median $446.68 Typical High $645.65 | Professional | 80 · Assistant surgeon | $275.42 | $446.68 | $645.65 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $363.08 Typical High $562.34 | Professional | AS · PA/NP assist | $239.88 | $363.08 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $549.54 Typical High $2,511.89 | Facility | None | $446.68 | $549.54 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $5,495.41 | Professional | None | $1,905.46 | $2,818.38 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,698.24 | $1,995.26 | $2,951.21 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $5,623.41 | Professional | None | $1,698.24 | $2,754.23 | $5,623.41 |
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 $891.25 Median $912.01 Typical High $1,096.48 | Professional | 52 · Reduced service | $891.25 | $912.01 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $363.08 Typical High $446.68 | Professional | 53 · Discontinued | $354.81 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,380.38 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,348.96 | $1,380.38 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $275.42 Typical High $331.13 | Professional | 55 · Aftercare only | $269.15 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $181.97 Typical High $223.87 | Professional | 56 · Pre-op care only | $177.83 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,288.25 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,288.25 | $1,548.82 |
Where Georgia sits
The same service costs 5.8 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.
Georgia· 30th of 51
$2,239
AK $6,457TX $1,122
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.