How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,047 to $10,471Professionalmedian $1,288 · 10th to 90th $977 to $3,467
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 $2,089.30 Median $5,623.41 Typical High $8,709.64 | Facility | None | $2,089.30 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $2,818.38 | Professional | None | $977.24 | $1,122.02 | $2,818.38 |
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 $1,000.00 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,000.00 | $1,202.26 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,819.70 Typical High $2,884.03 | Professional | 50 · Both sides | $1,513.56 | $1,819.70 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $758.58 Typical High $1,202.26 | Professional | 62 · Two surgeons | $630.96 | $758.58 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $194.98 Typical High $309.03 | Professional | 80 · Assistant surgeon | $162.18 | $194.98 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $169.82 Typical High $269.15 | Professional | AS · PA/NP assist | $141.25 | $169.82 | $269.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,230.27 | Professional | None | $870.96 | $933.25 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,162.28 Typical High $4,570.88 | Facility | None | $707.95 | $3,162.28 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $2,691.53 | Professional | None | $891.25 | $1,174.90 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,467.37 Typical High $13,803.84 | Facility | None | $54.95 | $3,467.37 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $7,413.10 | Professional | None | $1,288.25 | $2,454.71 | $7,413.10 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,570.88 Typical High $13,489.63 | Facility | None | $977.24 | $4,570.88 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,818.38 | Professional | None | $1,047.13 | $1,621.81 | $2,818.38 |
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 $489.78 Median $562.34 Typical High $588.84 | Professional | 52 · Reduced service | $489.78 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $223.87 Typical High $239.88 | Professional | 53 · Discontinued | $194.98 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $831.76 Typical High $891.25 | Professional | 54 · Surgery only | $724.44 | $831.76 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $169.82 Typical High $177.83 | Professional | 55 · Aftercare only | $144.54 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $112.20 Typical High $120.23 | Professional | 56 · Pre-op care only | $97.72 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $776.25 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $676.08 | $776.25 | $831.76 |
Where Missouri sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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 $11,128KY $2,365
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.