How much rates vary
Facilitymedian $2,818 · 10th to 90th $525 to $10,965Professionalmedian $3,715 · 10th to 90th $2,754 to $20,893
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 $4,897.79 Typical High $7,762.47 | Facility | None | $2,511.89 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $3,235.94 | Professional | None | $2,691.53 | $2,818.38 | $3,235.94 |
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 $2,754.23 Median $3,311.31 Typical High $4,786.30 | Professional | None | $2,754.23 | $3,311.31 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,737.80 Median $2,089.30 Typical High $3,019.95 | Professional | 62 · Two surgeons | $1,737.80 | $2,089.30 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $446.68 Median $524.81 Typical High $758.58 | Professional | 80 · Assistant surgeon | $446.68 | $524.81 | $758.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $389.05 Median $457.09 Typical High $676.08 | Professional | AS · PA/NP assist | $389.05 | $457.09 | $676.08 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $4,365.16 | Professional | None | $2,754.23 | $3,019.95 | $4,365.16 |
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 $2,754.23 Median $3,019.95 Typical High $5,623.41 | Professional | None | $2,754.23 | $3,019.95 | $5,623.41 |
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 $3,311.31 Median $20,892.96 Typical High $20,892.96 | Professional | None | $3,311.31 | $20,892.96 | $20,892.96 |
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 $3,981.07 Typical High $6,760.83 | Professional | None | $2,570.40 | $3,981.07 | $6,760.83 |
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 $1,412.54 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,348.96 | $1,412.54 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $562.34 Typical High $645.65 | Professional | 53 · Discontinued | $537.03 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,137.96 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,995.26 | $2,137.96 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $426.58 Typical High $489.78 | Professional | 55 · Aftercare only | $398.11 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $281.84 Typical High $323.59 | Professional | 56 · Pre-op care only | $269.15 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,995.26 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,995.26 | $2,290.87 |
Where Missouri 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.
Missouri· 24th of 51
$3,631
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.