How much rates vary
Facilitymedian $2,692 · 10th to 90th $537 to $8,913Professionalmedian $1,380 · 10th to 90th $955 to $2,818
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 $2,089.30 Median $5,623.41 Typical High $8,709.64 | Facility | None | $2,089.30 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $2,511.89 | Professional | None | $870.96 | $1,096.48 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $10,471.29 | Facility | None | $1,412.54 | $3,801.89 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,348.96 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,041.74 Typical High $2,818.38 | Professional | 50 · Both sides | $1,548.82 | $2,041.74 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $851.14 Typical High $1,174.90 | Professional | 62 · Two surgeons | $645.65 | $851.14 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $218.78 Typical High $302.00 | Professional | 80 · Assistant surgeon | $162.18 | $218.78 | $302.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $194.98 Typical High $263.03 | Professional | AS · PA/NP assist | $144.54 | $194.98 | $263.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,318.26 | Professional | None | $851.14 | $954.99 | $1,318.26 |
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 $954.99 Median $1,096.48 Typical High $2,137.96 | Professional | None | $954.99 | $1,096.48 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,230.27 Typical High $8,709.64 | Facility | None | $54.95 | $1,230.27 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $7,079.46 | Professional | None | $1,148.15 | $2,137.96 | $7,079.46 |
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 $1,000.00 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,445.44 | $2,511.89 |
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 $426.58 Median $537.03 Typical High $549.54 | Professional | 52 · Reduced service | $426.58 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $213.80 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $812.83 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $107.15 Typical High $109.65 | Professional | 56 · Pre-op care only | $87.10 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $758.58 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $602.56 | $758.58 | $776.25 |
Where Missouri sits
The same service costs 6.6 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· 14th of 51
$1,549
AK $3,802TX $575
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.