How much rates vary
Facilitymedian $4,365 · 10th to 90th $501 to $21,380Professionalmedian $1,047 · 10th to 90th $162 to $1,698
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 $1,071.52 Median $10,232.93 Typical High $13,803.84 | Facility | None | $1,071.52 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $9,120.11 | Professional | None | $1,071.52 | $1,071.52 | $9,120.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $10,964.78 Typical High $25,703.96 | Facility | None | $1,174.90 | $10,964.78 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,621.81 | Professional | None | $851.14 | $1,047.13 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,548.82 Typical High $2,454.71 | Professional | 50 · Both sides | $1,288.25 | $1,548.82 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $645.65 Typical High $1,023.29 | Professional | 62 · Two surgeons | $537.03 | $645.65 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $165.96 Typical High $263.03 | Professional | 80 · Assistant surgeon | $138.04 | $165.96 | $263.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | AS · PA/NP assist | $120.23 | $144.54 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $2,691.53 | Facility | None | $426.58 | $588.84 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,288.25 | $2,454.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,691.53 | Facility | None | $426.58 | $602.56 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,288.25 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $954.99 Typical High $1,584.89 | Professional | None | $125.89 | $954.99 | $1,584.89 |
SummaCare Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,202.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $4,677.35 | Facility | None | $371.54 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,951.21 | Professional | None | $870.96 | $1,318.26 | $2,951.21 |
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 $794.33 Median $794.33 Typical High $3,467.37 | Professional | 54 · Surgery only | $794.33 | $794.33 | $3,467.37 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $3,235.94 |
Where Ohio 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.
Ohio· 44th of 51
$1,072
AK $5,012TX $741
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.