How much rates vary
Facilitymedian $5,754 · 10th to 90th $912 to $20,417Professionalmedian $912 · 10th to 90th $138 to $1,514
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 $2,089.30 Median $7,079.46 Typical High $12,022.64 | Facility | None | $2,089.30 | $7,079.46 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $3,715.35 | Professional | None | $912.01 | $1,122.02 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $4,466.84 Typical High $21,877.62 | Facility | None | $1,258.93 | $4,466.84 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,737.80 | Professional | None | $851.14 | $1,071.52 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $676.08 Typical High $1,096.48 | Professional | 62 · Two surgeons | $537.03 | $676.08 | $1,096.48 |
CareSource Setting Facility Modifier None Typical Low $1,445.44 Median $14,454.40 Typical High $18,620.87 | Facility | None | $1,445.44 | $14,454.40 | $18,620.87 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $16,982.44 Typical High $26,915.35 | Facility | None | $602.56 | $16,982.44 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,513.56 | $2,187.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $16,982.44 Typical High $26,915.35 | Facility | None | $602.56 | $16,982.44 | $26,915.35 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,513.56 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $724.44 Typical High $1,258.93 | Professional | None | $107.15 | $724.44 | $1,258.93 |
SummaCare Setting Facility Modifier None Typical Low $18,620.87 Median $19,498.45 Typical High $19,952.62 | Facility | None | $18,620.87 | $19,498.45 | $19,952.62 |
SummaCare Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,412.54 | Professional | None | $977.24 | $1,071.52 | $1,412.54 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $7,413.10 | Facility | None | $707.95 | $1,905.46 | $7,413.10 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,230.27 Typical High $2,137.96 | Professional | None | $741.31 | $1,230.27 | $2,137.96 |
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 $851.14 Median $851.14 Typical High $2,630.27 | Professional | 54 · Surgery only | $851.14 | $851.14 | $2,630.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $2,454.71 |
Where Ohio 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.