How much rates vary
Facilitymedian $1,202 · 10th to 90th $513 to $8,913Professionalmedian $1,995 · 10th to 90th $1,175 to $3,388
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 $1,148.15 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,148.15 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,258.93 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $2,570.40 Typical High $11,220.18 | Facility | None | $831.76 | $2,570.40 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,318.26 | $1,995.26 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $912.01 Median $1,348.96 Typical High $2,137.96 | Professional | 62 · Two surgeons | $912.01 | $1,348.96 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $354.81 Typical High $549.54 | Professional | 80 · Assistant surgeon | $229.09 | $354.81 | $549.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $302.00 Typical High $478.63 | Professional | AS · PA/NP assist | $199.53 | $302.00 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $2,398.83 | Facility | None | $457.09 | $549.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,513.56 | $2,344.23 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $3,311.31 | Professional | None | $1,380.38 | $1,698.24 | $3,311.31 |
Oscar Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
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 $1,412.54 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,995.26 | $3,311.31 |
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 $575.44 Median $575.44 Typical High $776.25 | Professional | 52 · Reduced service | $575.44 | $575.44 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | 53 · Discontinued | $229.09 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $1,096.48 |
Where Georgia sits
The same service costs 7.1 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
$1,995
AK $5,754TX $813
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.