How much rates vary
Facilitymedian $2,692 · 10th to 90th $525 to $10,471Professionalmedian $2,754 · 10th to 90th $2,239 to $7,586
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 $1,862.09 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,862.09 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $2,691.53 | Professional | None | $1,862.09 | $2,238.72 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $11,481.54 | Facility | None | $1,412.54 | $3,801.89 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $4,168.69 | Professional | None | $2,238.72 | $2,511.89 | $4,168.69 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $1,584.89 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,412.54 | $1,584.89 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $363.08 Median $407.38 Typical High $660.69 | Professional | 80 · Assistant surgeon | $363.08 | $407.38 | $660.69 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $354.81 Typical High $575.44 | Professional | AS · PA/NP assist | $316.23 | $354.81 | $575.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $3,388.44 | Professional | None | $2,137.96 | $2,398.83 | $3,388.44 |
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 $2,344.23 Median $2,630.27 Typical High $5,011.87 | Professional | None | $2,344.23 | $2,630.27 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,230.27 Typical High $7,943.28 | Facility | None | $54.95 | $1,230.27 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $5,128.61 Typical High $16,218.10 | Professional | None | $2,691.53 | $5,128.61 | $16,218.10 |
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 $2,454.71 Median $3,388.44 Typical High $6,025.60 | Professional | None | $2,454.71 | $3,388.44 | $6,025.60 |
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 $933.25 Median $1,122.02 Typical High $1,148.15 | Professional | 52 · Reduced service | $933.25 | $1,122.02 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $446.68 Typical High $467.74 | Professional | 53 · Discontinued | $380.19 | $446.68 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,698.24 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,412.54 | $1,698.24 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $338.84 Typical High $346.74 | Professional | 55 · Aftercare only | $281.84 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $223.87 Typical High $234.42 | Professional | 56 · Pre-op care only | $186.21 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,584.89 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,584.89 | $1,621.81 |
Where Missouri sits
The same service costs 14.5 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· 29th of 51
$2,754
AK $9,120TX $631
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.