How much rates vary
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 $4,466.84 Median $9,120.11 Typical High $19,054.61 | Facility | None | $4,466.84 | $9,120.11 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $6,760.83 Typical High $18,197.01 | Professional | None | $4,677.35 | $6,760.83 | $18,197.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $8,511.38 Typical High $16,982.44 | Facility | None | $4,677.35 | $8,511.38 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $416.87 | Professional | None | $257.04 | $316.23 | $416.87 |
Blue Shield Setting Facility Modifier None Typical Low $89.13 Median $1,513.56 Typical High $2,884.03 | Facility | None | $89.13 | $1,513.56 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $5,623.41 | Facility | None | $660.69 | $1,148.15 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $407.38 | Professional | None | $141.25 | $141.25 | $407.38 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $1,148.15 Typical High $5,623.41 | Facility | None | $630.96 | $1,148.15 | $5,623.41 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $158.49 Median $186.21 Typical High $223.87 | Professional | 62 · Two surgeons | $158.49 | $186.21 | $223.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $46.77 Typical High $56.23 | Professional | 80 · Assistant surgeon | $40.74 | $46.77 | $56.23 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $41.69 Typical High $48.98 | Professional | AS · PA/NP assist | $35.48 | $41.69 | $48.98 |
Where California sits
The same service costs 72.4 times more in Alabama than in North Carolina. 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.
California· 12th of 51
$1,862
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.