How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,230 to $21,878Professionalmedian $1,622 · 10th to 90th $1,047 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 $1,230.27 Median $5,370.32 Typical High $10,000.00 | Facility | None | $1,230.27 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,230.27 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $16,218.10 | Facility | None | $1,288.25 | $2,344.23 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,630.27 | Professional | None | $977.24 | $1,621.81 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $1,047.13 Typical High $1,659.59 | Professional | 62 · Two surgeons | $724.44 | $1,047.13 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $19,498.45 Typical High $25,118.86 | Facility | None | $1,348.96 | $19,498.45 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,090.30 | Professional | None | $1,380.38 | $1,905.46 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $7,079.46 | Professional | None | $1,202.26 | $1,348.96 | $7,079.46 |
Oscar Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,995.26 | $2,398.83 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,737.80 | $3,019.95 |
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 $912.01 Median $912.01 Typical High $1,023.29 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $954.99 |
Where Georgia 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.