How much rates vary
Facilitymedian $2,512 · 10th to 90th $501 to $7,943Professionalmedian $646 · 10th to 90th $501 to $1,862
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 $1,698.24 Median $5,623.41 Typical High $8,128.31 | Facility | None | $1,698.24 | $5,623.41 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $501.19 Typical High $758.58 | Professional | None | $416.87 | $501.19 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,819.70 | $3,801.89 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $1,000.00 | Professional | None | $512.86 | $602.56 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $380.19 Typical High $630.96 | Professional | 62 · Two surgeons | $331.13 | $380.19 | $630.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $95.50 Typical High $162.18 | Professional | 80 · Assistant surgeon | $83.18 | $95.50 | $162.18 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $83.18 Typical High $141.25 | Professional | AS · PA/NP assist | $72.44 | $83.18 | $141.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $707.95 | Professional | None | $446.68 | $512.86 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $2,691.53 | Facility | None | $588.84 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,148.15 | Professional | None | $537.03 | $660.69 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,148.15 Typical High $7,762.47 | Facility | None | $54.95 | $1,148.15 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $6,165.95 | Professional | None | $645.65 | $1,148.15 | $6,165.95 |
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 $575.44 Median $794.33 Typical High $1,348.96 | Professional | None | $575.44 | $794.33 | $1,348.96 |
5 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 $208.93 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $208.93 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $83.18 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $371.54 Typical High $380.19 | Professional | 54 · Surgery only | $309.03 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $74.13 Typical High $77.62 | Professional | 55 · Aftercare only | $61.66 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $41.69 | $50.12 | $51.29 |
Where Missouri sits
The same service costs 28.7 times more in Alabama than in Delaware. 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.
Physician feeFacility fee
AL $30,907DE $1,077
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.