How much rates vary
Facilitymedian $1,148 · 10th to 90th $513 to $7,413Professionalmedian $2,188 · 10th to 90th $1,514 to $3,802
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 $1,778.28 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,778.28 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $3,162.28 | Professional | None | $1,698.24 | $1,778.28 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,041.74 Typical High $9,772.37 | Facility | None | $707.95 | $2,041.74 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,479.11 | $2,187.76 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,454.71 Median $3,630.78 Typical High $5,495.41 | Professional | 50 · Both sides | $2,454.71 | $3,630.78 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,513.56 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,023.29 | $1,513.56 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $426.58 Typical High $602.56 | Professional | 80 · Assistant surgeon | $263.03 | $426.58 | $602.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $338.84 Typical High $489.78 | Professional | AS · PA/NP assist | $229.09 | $338.84 | $489.78 |
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 $1,819.70 Median $2,884.03 Typical High $5,248.07 | Professional | None | $1,819.70 | $2,884.03 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $3,981.07 | Professional | None | $1,698.24 | $1,949.84 | $3,981.07 |
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 $1,621.81 Median $2,511.89 Typical High $5,248.07 | Professional | None | $1,621.81 | $2,511.89 | $5,248.07 |
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 $851.14 Median $870.96 Typical High $1,071.52 | Professional | 52 · Reduced service | $851.14 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $354.81 Typical High $426.58 | Professional | 53 · Discontinued | $338.84 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,318.26 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,288.25 | $1,318.26 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $263.03 Typical High $316.23 | Professional | 55 · Aftercare only | $257.04 | $263.03 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $177.83 Typical High $213.80 | Professional | 56 · Pre-op care only | $169.82 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,230.27 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,230.27 | $1,479.11 |
Where Georgia sits
The same service costs 5.2 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.
Georgia· 27th of 51
$2,138
AK $6,166TX $1,175
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.