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 $1,698.24 Median $5,623.41 Typical High $15,135.61 | Facility | None | $1,698.24 | $5,623.41 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,288.25 | Professional | None | $891.25 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $4,677.35 Typical High $19,498.45 | Facility | None | $1,479.11 | $4,677.35 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,513.56 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,238.72 Typical High $3,090.30 | Professional | 50 · Both sides | $1,659.59 | $2,238.72 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $954.99 Typical High $1,288.25 | Professional | 62 · Two surgeons | $707.95 | $954.99 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $239.88 Typical High $331.13 | Professional | 80 · Assistant surgeon | $177.83 | $239.88 | $331.13 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $208.93 Typical High $288.40 | Professional | AS · PA/NP assist | $154.88 | $208.93 | $288.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,288.25 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $13,803.84 | Facility | None | $501.19 | $2,089.30 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,348.96 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,398.83 Typical High $10,964.78 | Facility | None | $562.34 | $2,398.83 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $8,912.51 | Professional | None | $1,096.48 | $2,137.96 | $8,912.51 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $11,220.18 | Facility | None | $467.74 | $2,290.87 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,584.89 | $2,398.83 |
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 $676.08 Median $794.33 Typical High $891.25 | Professional | 54 · Surgery only | $676.08 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $741.31 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $630.96 | $741.31 | $831.76 |
Where Missouri 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.
Missouri· 21st of 51
$1,585
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.