How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,096 to $10,471Professionalmedian $1,122 · 10th to 90th $871 to $7,413
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 $10,715.19 | Facility | None | $1,698.24 | $5,623.41 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,122.02 | Professional | None | $954.99 | $1,047.13 | $1,122.02 |
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 $912.01 Median $1,122.02 Typical High $1,548.82 | Professional | None | $912.01 | $1,122.02 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,698.24 Typical High $2,344.23 | Professional | 50 · Both sides | $1,348.96 | $1,698.24 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $707.95 Typical High $977.24 | Professional | 62 · Two surgeons | $575.44 | $707.95 | $977.24 |
BCBS Kansas City Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,258.93 | Professional | None | $794.33 | $851.14 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,311.31 Typical High $3,981.07 | Facility | None | $758.58 | $3,311.31 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,621.81 | Professional | None | $851.14 | $933.25 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,754.23 Typical High $26,302.68 | Facility | None | $1,000.00 | $2,754.23 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,659.59 Typical High $7,413.10 | Professional | None | $870.96 | $1,659.59 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,698.24 | Professional | None | $851.14 | $1,071.52 | $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 $478.63 Median $524.81 Typical High $562.34 | Professional | 52 · Reduced service | $478.63 | $524.81 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $208.93 Typical High $223.87 | Professional | 53 · Discontinued | $190.55 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $776.25 Typical High $851.14 | Professional | 54 · Surgery only | $724.44 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $154.88 Typical High $169.82 | Professional | 55 · Aftercare only | $144.54 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $104.71 Typical High $112.20 | Professional | 56 · Pre-op care only | $95.50 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $724.44 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $676.08 | $724.44 | $794.33 |
Where Missouri sits
The same service costs 4.2 times more in Alaska 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
AK $9,741DE $2,311
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.