How much rates vary
Facilitymedian $2,570 · 10th to 90th $457 to $13,490Professionalmedian $2,455 · 10th to 90th $1,950 to $3,981
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 $1,995.26 Median $2,344.23 Typical High $2,570.40 | Facility | None | $1,995.26 | $2,344.23 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,187.76 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $10,715.19 Typical High $19,498.45 | Facility | None | $7,244.36 | $10,715.19 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,905.46 | $2,398.83 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,818.38 Median $3,548.13 Typical High $5,011.87 | Professional | 50 · Both sides | $2,818.38 | $3,548.13 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,479.11 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,202.26 | $1,479.11 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $380.19 Typical High $524.81 | Professional | 80 · Assistant surgeon | $302.00 | $380.19 | $524.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $331.13 Typical High $467.74 | Professional | AS · PA/NP assist | $263.03 | $331.13 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $3,548.13 | Facility | None | $1,905.46 | $2,290.87 | $3,548.13 |
CareSource Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $3,715.35 | Professional | None | $2,454.71 | $3,162.28 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $4,073.80 | Facility | None | $34.67 | $691.83 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $13,489.63 | Professional | None | $2,290.87 | $3,235.94 | $13,489.63 |
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 $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $4,365.16 | Professional | None | $2,344.23 | $3,019.95 | $4,365.16 |
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 $1,000.00 Median $1,096.48 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,000.00 | $1,096.48 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $436.52 Typical High $524.81 | Professional | 53 · Discontinued | $407.38 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,659.59 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,513.56 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $331.13 Typical High $389.05 | Professional | 55 · Aftercare only | $302.00 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $218.78 Typical High $257.04 | Professional | 56 · Pre-op care only | $199.53 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,548.82 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,548.82 | $1,819.70 |
Where Kentucky sits
The same service costs 16.2 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.
Kentucky· 42nd of 51
$2,455
AK $9,772TX $603
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.