How much rates vary
Facilitymedian $1,148 · 10th to 90th $513 to $7,943Professionalmedian $2,399 · 10th to 90th $1,549 to $3,890
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 $1,621.81 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,621.81 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,621.81 | $1,659.59 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $12,589.25 | Facility | None | $707.95 | $2,290.87 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,479.11 | $2,398.83 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,630.78 Typical High $5,754.40 | Professional | 50 · Both sides | $2,691.53 | $3,630.78 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,548.82 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,122.02 | $1,548.82 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $416.87 Typical High $616.60 | Professional | 80 · Assistant surgeon | $281.84 | $416.87 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $338.84 Typical High $524.81 | Professional | AS · PA/NP assist | $251.19 | $338.84 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $2,398.83 | Facility | None | $457.09 | $549.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $4,570.88 | Professional | None | $1,905.46 | $2,884.03 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,862.09 | $3,311.31 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $4,365.16 | Professional | None | $1,819.70 | $2,630.27 | $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 $812.83 Median $812.83 Typical High $954.99 | Professional | 52 · Reduced service | $812.83 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | 53 · Discontinued | $323.59 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,348.96 |
Where Georgia sits
The same service costs 21.9 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.
Georgia· 21st of 51
$2,399
AK $7,079TX $324
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.