How much rates vary
Facilitymedian $2,692 · 10th to 90th $525 to $10,965Professionalmedian $2,188 · 10th to 90th $1,549 to $12,303
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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,445.44 | $1,584.89 | $1,737.80 |
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 $1,621.81 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,621.81 | $2,041.74 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,288.25 Typical High $1,778.28 | Professional | 62 · Two surgeons | $1,023.29 | $1,288.25 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $323.59 Typical High $457.09 | Professional | 80 · Assistant surgeon | $257.04 | $323.59 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $288.40 Typical High $398.11 | Professional | AS · PA/NP assist | $223.87 | $288.40 | $398.11 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,513.56 | $1,659.59 | $2,398.83 |
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 $1,513.56 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,513.56 | $1,737.80 | $3,311.31 |
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 $1,949.84 Median $12,302.69 Typical High $12,302.69 | Professional | None | $1,949.84 | $12,302.69 | $12,302.69 |
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 $1,513.56 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,513.56 | $2,290.87 | $3,801.89 |
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 $724.44 Median $776.25 Typical High $870.96 | Professional | 52 · Reduced service | $724.44 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $316.23 Typical High $354.81 | Professional | 53 · Discontinued | $288.40 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,174.90 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,096.48 | $1,174.90 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $234.42 Typical High $263.03 | Professional | 55 · Aftercare only | $218.78 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $158.49 Typical High $173.78 | Professional | 56 · Pre-op care only | $144.54 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,096.48 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,096.48 | $1,230.27 |
Where Missouri sits
The same service costs 5.4 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· 21st of 51
$2,188
AK $5,623TX $1,047
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.