How much rates vary
Facilitymedian $2,818 · 10th to 90th $525 to $10,965Professionalmedian $3,090 · 10th to 90th $2,570 to $20,417
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 $2,511.89 Median $4,677.35 Typical High $7,762.47 | Facility | None | $2,511.89 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $3,090.30 | Professional | None | $2,511.89 | $2,691.53 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $11,481.54 | Facility | None | $1,412.54 | $3,801.89 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,630.27 | $3,090.30 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,659.59 Median $1,949.84 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,659.59 | $1,949.84 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $489.78 Typical High $707.95 | Professional | 80 · Assistant surgeon | $416.87 | $489.78 | $707.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $363.08 Median $426.58 Typical High $630.96 | Professional | AS · PA/NP assist | $363.08 | $426.58 | $630.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $3,801.89 | Professional | None | $2,454.71 | $2,691.53 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $5,495.41 | Professional | None | $2,570.40 | $2,884.03 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,380.38 Typical High $11,220.18 | Facility | None | $54.95 | $1,380.38 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $3,235.94 Median $20,417.38 Typical High $20,417.38 | Professional | None | $3,235.94 | $20,417.38 | $20,417.38 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $6,606.93 | Professional | None | $2,570.40 | $3,801.89 | $6,606.93 |
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 $1,258.93 Median $1,318.26 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,258.93 | $1,318.26 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $537.03 Typical High $616.60 | Professional | 53 · Discontinued | $512.86 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,995.26 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,905.46 | $1,995.26 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $398.11 Typical High $457.09 | Professional | 55 · Aftercare only | $380.19 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $269.15 Typical High $309.03 | Professional | 56 · Pre-op care only | $251.19 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,862.09 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,862.09 | $2,137.96 |
Where Missouri sits
The same service costs 22.9 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.
Missouri· 29th of 51
$3,090
AK $9,120TX $398
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.