How much rates vary
Facilitymedian $1,148 · 10th to 90th $513 to $7,413Professionalmedian $2,455 · 10th to 90th $1,585 to $4,169
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 $1,949.84 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,949.84 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,905.46 | $1,949.84 | $2,691.53 |
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 $1,584.89 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,454.71 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,981.07 Typical High $6,025.60 | Professional | 50 · Both sides | $2,754.23 | $3,981.07 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,698.24 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,148.15 | $1,698.24 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $467.74 Typical High $645.65 | Professional | 80 · Assistant surgeon | $281.84 | $467.74 | $645.65 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $363.08 Typical High $562.34 | Professional | AS · PA/NP assist | $251.19 | $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 $2,041.74 Median $2,818.38 Typical High $5,754.40 | Professional | None | $2,041.74 | $2,818.38 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,778.28 | $2,041.74 | $3,467.37 |
Oscar Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
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 $1,819.70 Median $2,754.23 Typical High $5,888.44 | Professional | None | $1,819.70 | $2,754.23 | $5,888.44 |
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 $954.99 Median $977.24 Typical High $1,202.26 | Professional | 52 · Reduced service | $954.99 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $389.05 Typical High $478.63 | Professional | 53 · Discontinued | $380.19 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,445.44 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,412.54 | $1,445.44 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $295.12 Typical High $354.81 | Professional | 55 · Aftercare only | $281.84 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $194.98 Typical High $239.88 | Professional | 56 · Pre-op care only | $190.55 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,348.96 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,348.96 | $1,659.59 |
Where Georgia sits
The same service costs 7.9 times more in Alabama 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
AL $19,273WA $2,428
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.