How much rates vary
Facilitymedian $1,585 · 10th to 90th $724 to $10,471Professionalmedian $933 · 10th to 90th $776 to $1,549
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 $812.83 Median $912.01 Typical High $8,511.38 | Facility | None | $812.83 | $912.01 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,047.13 | Professional | None | $794.33 | $870.96 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $13,489.63 | Facility | None | $5,011.87 | $8,317.64 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,288.25 | Professional | None | $776.25 | $933.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,174.90 Median $1,412.54 Typical High $1,905.46 | Professional | 50 · Both sides | $1,174.90 | $1,412.54 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $489.78 Median $588.84 Typical High $812.83 | Professional | 62 · Two surgeons | $489.78 | $588.84 | $812.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $151.36 Typical High $199.53 | Professional | 80 · Assistant surgeon | $123.03 | $151.36 | $199.53 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $131.83 Typical High $177.83 | Professional | AS · PA/NP assist | $109.65 | $131.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $1,412.54 | Facility | None | $34.67 | $691.83 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $5,495.41 | Professional | None | $870.96 | $1,318.26 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $5,128.61 | Facility | None | $741.31 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,698.24 | Professional | None | $831.76 | $1,258.93 | $1,698.24 |
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 $398.11 Median $436.52 Typical High $524.81 | Professional | 52 · Reduced service | $398.11 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $660.69 Typical High $794.33 | Professional | 54 · Surgery only | $602.56 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $158.49 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $87.10 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $616.60 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $562.34 | $616.60 | $741.31 |
Where Kentucky sits
The same service costs 6.3 times more in Alaska than in Utah. 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.
Kentucky· 46th of 51
$933
AK $3,715UT $589
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.