How much rates vary
Facilitymedian $1,862 · 10th to 90th $708 to $6,310Professionalmedian $871 · 10th to 90th $575 to $1,479
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 $1,122.02 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,122.02 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $912.01 | Professional | None | $616.60 | $616.60 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $5,754.40 | Facility | None | $676.08 | $1,348.96 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $1,348.96 | Professional | None | $512.86 | $870.96 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $1,412.54 Typical High $2,290.87 | Professional | 50 · Both sides | $977.24 | $1,412.54 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $407.38 Median $562.34 Typical High $977.24 | Professional | 62 · Two surgeons | $407.38 | $562.34 | $977.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $158.49 Typical High $251.19 | Professional | 80 · Assistant surgeon | $100.00 | $158.49 | $251.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $125.89 Typical High $218.78 | Professional | AS · PA/NP assist | $91.20 | $125.89 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,995.26 Typical High $2,691.53 | Facility | None | $741.31 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,737.80 | Professional | None | $660.69 | $1,023.29 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,445.44 | Professional | None | $707.95 | $794.33 | $1,445.44 |
Oscar Health Setting Professional Modifier None Typical Low $660.69 Median $1,122.02 Typical High $1,479.11 | Professional | None | $660.69 | $1,122.02 | $1,479.11 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,995.26 | Professional | None | $562.34 | $1,000.00 | $1,995.26 |
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 $309.03 Median $309.03 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | 53 · Discontinued | $123.03 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $602.56 | Professional | 54 · Surgery only | $457.09 | $457.09 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $562.34 |
Where Georgia sits
The same service costs 5.9 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· 21st of 51
$871
AK $2,512TX $427
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.