How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,072 to $36,308Professionalmedian $1,820 · 10th to 90th $1,072 to $2,754
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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,819.70 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $30,902.95 Typical High $36,307.81 | Facility | None | $2,137.96 | $30,902.95 | $36,307.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,995.26 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $1,230.27 Typical High $1,737.80 | Professional | 62 · Two surgeons | $691.83 | $1,230.27 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $37,153.52 Typical High $45,708.82 | Facility | None | $1,000.00 | $37,153.52 | $45,708.82 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,513.56 | $1,737.80 | $2,691.53 |
ConnectiCare Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,621.81 | $1,862.09 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,737.80 Typical High $3,235.94 | Professional | None | $870.96 | $1,737.80 | $3,235.94 |
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 $933.25 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $933.25 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $870.96 | $1,258.93 | $1,258.93 |
Where Connecticut sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.