How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,288 to $10,715Professionalmedian $1,778 · 10th to 90th $1,288 to $4,169
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 $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,380.38 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,288.25 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,348.96 | $1,698.24 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,071.52 Typical High $1,479.11 | Professional | 62 · Two surgeons | $831.76 | $1,071.52 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $269.15 Typical High $380.19 | Professional | 80 · Assistant surgeon | $213.80 | $269.15 | $380.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $239.88 Typical High $331.13 | Professional | AS · PA/NP assist | $186.21 | $239.88 | $331.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,348.96 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,073.80 Typical High $6,025.60 | Facility | None | $645.65 | $4,073.80 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,148.15 | $1,513.56 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $4,365.16 Typical High $26,302.68 | Facility | None | $1,479.11 | $4,365.16 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $10,715.19 | Professional | None | $1,445.44 | $2,511.89 | $10,715.19 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,981.07 Typical High $8,709.64 | Facility | None | $1,258.93 | $3,981.07 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,230.27 | $2,238.72 | $2,818.38 |
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 $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $575.44 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $269.15 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,023.29 Typical High $1,047.13 | Professional | 54 · Surgery only | $851.14 | $1,023.29 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $204.17 Typical High $208.93 | Professional | 55 · Aftercare only | $169.82 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $114.82 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $954.99 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $794.33 | $954.99 | $977.24 |
Where Missouri sits
The same service costs 7.2 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.
Missouri· 23rd of 51
$1,995
AK $5,495TX $759
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.