How much rates vary
Facilitymedian $1,995 · 10th to 90th $550 to $10,965Professionalmedian $1,820 · 10th to 90th $1,202 to $2,951
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 $1,288.25 Median $5,370.32 Typical High $11,481.54 | Facility | None | $1,288.25 | $5,370.32 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | None | $1,288.25 | $1,288.25 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,905.46 Typical High $13,803.84 | Facility | None | $588.84 | $1,905.46 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,071.52 | $1,819.70 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,174.90 Typical High $1,995.26 | Professional | 62 · Two surgeons | $851.14 | $1,174.90 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $323.59 Typical High $524.81 | Professional | 80 · Assistant surgeon | $213.80 | $323.59 | $524.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $251.19 Typical High $457.09 | Professional | AS · PA/NP assist | $186.21 | $251.19 | $457.09 |
CareSource Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $549.54 Typical High $2,691.53 | Facility | None | $446.68 | $549.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,380.38 | $2,187.76 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,698.24 | $3,388.44 |
Oscar Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $9,772.37 | Facility | None | $1,258.93 | $2,884.03 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $4,168.69 | Professional | None | $1,174.90 | $2,089.30 | $4,168.69 |
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 $645.65 Median $645.65 Typical High $831.76 | Professional | 52 · Reduced service | $645.65 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | 53 · Discontinued | $257.04 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,174.90 |
Where Georgia sits
The same service costs 26.3 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
$1,820
AK $5,248TX $200
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.