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 $870.96 Median $1,047.13 Typical High $1,174.90 | Facility | None | $870.96 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,230.27 | Professional | None | $1,023.29 | $1,047.13 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $10,715.19 Typical High $17,782.79 | Facility | None | $6,165.95 | $10,715.19 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,659.59 | Professional | None | $851.14 | $1,023.29 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,513.56 Typical High $2,454.71 | Professional | 50 · Both sides | $1,288.25 | $1,513.56 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $630.96 Typical High $1,047.13 | Professional | 62 · Two surgeons | $537.03 | $630.96 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $162.18 Typical High $245.47 | Professional | 80 · Assistant surgeon | $138.04 | $162.18 | $245.47 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $141.25 Typical High $229.09 | Professional | AS · PA/NP assist | $120.23 | $141.25 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,819.70 | Facility | None | $954.99 | $1,148.15 | $1,819.70 |
CareSource Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,513.56 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $2,041.74 | Facility | None | $34.67 | $691.83 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $5,623.41 | Professional | None | $1,148.15 | $1,584.89 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $2,137.96 | Professional | None | $933.25 | $1,096.48 | $2,137.96 |
2 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 54 · Surgery only Typical Low $776.25 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $741.31 | $812.83 |
Where Kentucky sits
The same service costs 6.8 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.
Kentucky· 47th of 51
$1,047
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.