How much rates vary
Facilitymedian $1,585 · 10th to 90th $741 to $19,498Professionalmedian $1,072 · 10th to 90th $891 to $1,738
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 $794.33 Median $977.24 Typical High $2,630.27 | Facility | None | $794.33 | $977.24 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,230.27 | Professional | None | $912.01 | $1,122.02 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $9,549.93 Typical High $11,220.18 | Facility | None | $758.58 | $9,549.93 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,445.44 | Professional | None | $891.25 | $1,047.13 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $549.54 Median $645.65 Typical High $912.01 | Professional | 62 · Two surgeons | $549.54 | $645.65 | $912.01 |
CareSource Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $25,118.86 | Facility | None | $912.01 | $1,698.24 | $25,118.86 |
CareSource Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,445.44 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,862.09 Typical High $21,379.62 | Facility | None | $34.67 | $1,862.09 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $5,128.61 | Professional | None | $1,096.48 | $1,412.54 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $645.65 | Professional | None | $33.11 | $33.11 | $645.65 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $5,128.61 | Facility | None | $741.31 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $2,041.74 | Professional | None | $1,047.13 | $1,258.93 | $2,041.74 |
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 $741.31 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $741.31 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $851.14 |
Where Kentucky 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.