How much rates vary
Facilitymedian $2,754 · 10th to 90th $813 to $7,413Professionalmedian $1,349 · 10th to 90th $912 to $2,291
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 $1,023.29 Median $6,309.57 Typical High $10,000.00 | Facility | None | $1,023.29 | $6,309.57 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,023.29 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $7,244.36 | Facility | None | $776.25 | $1,479.11 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $2,089.30 | Professional | None | $812.83 | $1,348.96 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $245.47 Typical High $363.08 | Professional | 80 · Assistant surgeon | $158.49 | $245.47 | $363.08 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $229.09 Typical High $302.00 | Professional | AS · PA/NP assist | $134.90 | $229.09 | $302.00 |
CareSource Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,467.37 Typical High $4,365.16 | Facility | None | $812.83 | $3,467.37 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,023.29 | $1,548.82 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,380.38 | $2,137.96 |
Oscar Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,621.81 Typical High $3,019.95 | Professional | None | $912.01 | $1,621.81 | $3,019.95 |
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 $501.19 Median $501.19 Typical High $616.60 | Professional | 52 · Reduced service | $501.19 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | 53 · Discontinued | $199.53 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $741.31 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $870.96 |
Where Georgia sits
The same service costs 5.8 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· 18th of 51
$1,380
AK $3,981TX $692
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.