How much rates vary
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 $2,570.40 Median $7,079.46 Typical High $12,022.64 | Facility | None | $2,570.40 | $7,079.46 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $7,079.46 | Professional | None | $1,621.81 | $1,621.81 | $7,079.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $4,570.88 | Facility | None | $524.81 | $1,071.52 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,584.89 | $2,290.87 | $4,466.84 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,949.84 | Facility | None | $812.83 | $1,047.13 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,047.13 Typical High $4,677.35 | Facility | None | $602.56 | $1,047.13 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,737.80 | $2,398.83 | $3,019.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $1,047.13 Typical High $4,677.35 | Facility | None | $602.56 | $1,047.13 | $4,677.35 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $2,818.38 | Professional | None | $1,778.28 | $2,398.83 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,479.11 | $1,905.46 | $2,884.03 |
SummaCare Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $537.03 | Facility | None | $446.68 | $467.74 | $537.03 |
SummaCare Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,659.59 | $1,819.70 | $2,398.83 |
United Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $3,388.44 | Facility | None | $363.08 | $691.83 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,047.13 | $1,659.59 | $3,388.44 |
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 $1,202.26 Median $1,202.26 Typical High $4,677.35 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,445.44 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,000.00 | $1,445.44 | $2,818.38 |
Where Ohio sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 37th of 51
$1,905
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.