How much rates vary
Facilitymedian $1,148 · 10th to 90th $513 to $7,943Professionalmedian $4,074 · 10th to 90th $2,692 to $6,607
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 $2,691.53 Median $5,370.32 Typical High $7,943.28 | Facility | None | $2,691.53 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,548.13 | Professional | None | $2,691.53 | $2,691.53 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $12,589.25 | Facility | None | $707.95 | $2,290.87 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $6,456.54 | Professional | None | $2,511.89 | $4,073.80 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,819.70 Median $2,570.40 Typical High $4,570.88 | Professional | 62 · Two surgeons | $1,819.70 | $2,570.40 | $4,570.88 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $467.74 Median $724.44 Typical High $1,174.90 | Professional | 80 · Assistant surgeon | $467.74 | $724.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $407.38 Median $562.34 Typical High $1,023.29 | Professional | AS · PA/NP assist | $407.38 | $562.34 | $1,023.29 |
CareSource Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
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 $3,090.30 Median $4,570.88 Typical High $8,128.31 | Professional | None | $3,090.30 | $4,570.88 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $5,495.41 | Professional | None | $3,235.94 | $3,801.89 | $5,495.41 |
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 $2,570.40 Median $4,570.88 Typical High $9,332.54 | Professional | None | $2,570.40 | $4,570.88 | $9,332.54 |
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 $1,348.96 Median $1,380.38 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,348.96 | $1,380.38 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $549.54 Typical High $707.95 | Professional | 53 · Discontinued | $537.03 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,630.27 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $524.81 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $275.42 Typical High $354.81 | Professional | 56 · Pre-op care only | $269.15 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $2,454.71 |
Where Georgia sits
The same service costs 21.4 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.
Georgia· 17th of 51
$4,074
AK $9,772TX $457
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.