How much rates vary
Facilitymedian $1,148 · 10th to 90th $513 to $7,413Professionalmedian $2,239 · 10th to 90th $1,549 to $3,890
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 $2,951.21 | Professional | None | $1,778.28 | $1,819.70 | $2,951.21 |
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 $1,513.56 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,513.56 | $2,238.72 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,715.35 Typical High $5,754.40 | Professional | 50 · Both sides | $2,570.40 | $3,715.35 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,584.89 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,071.52 | $1,584.89 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $446.68 Typical High $616.60 | Professional | 80 · Assistant surgeon | $269.15 | $446.68 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $346.74 Typical High $537.03 | Professional | AS · PA/NP assist | $239.88 | $346.74 | $537.03 |
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 $1,862.09 Median $2,754.23 Typical High $5,370.32 | Professional | None | $1,862.09 | $2,754.23 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $3,715.35 | Professional | None | $1,698.24 | $1,949.84 | $3,715.35 |
Oscar Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
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 $2,630.27 Typical High $5,495.41 | Professional | None | $1,698.24 | $2,630.27 | $5,495.41 |
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 $436.52 | Professional | 53 · Discontinued | $354.81 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,348.96 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,318.26 | $1,348.96 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $269.15 Typical High $331.13 | Professional | 55 · Aftercare only | $263.03 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $181.97 Typical High $218.78 | Professional | 56 · Pre-op care only | $177.83 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,258.93 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,258.93 | $1,548.82 |
Where Georgia sits
The same service costs 8.2 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 $19,170WA $2,342
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.