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 $2,511.89 Median $5,623.41 Typical High $7,762.47 | Facility | None | $2,511.89 | $5,623.41 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $4,570.88 Typical High $8,511.38 | Professional | None | $630.96 | $4,570.88 | $8,511.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $549.54 | Professional | None | $371.54 | $457.09 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $831.76 Typical High $2,089.30 | Facility | None | $54.95 | $831.76 | $2,089.30 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,238.72 | Facility | None | $398.11 | $1,148.15 | $2,238.72 |
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 $234.42 Median $288.40 Typical High $346.74 | Professional | 62 · Two surgeons | $234.42 | $288.40 | $346.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $72.44 Typical High $87.10 | Professional | 80 · Assistant surgeon | $58.88 | $72.44 | $87.10 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $63.10 Typical High $75.86 | Professional | AS · PA/NP assist | $51.29 | $63.10 | $75.86 |
Where Missouri sits
The same service costs 55.0 times more in Oklahoma than in Montana. 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· 19th of 51
$1,096
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.