How much rates vary
Facilitymedian $4,169 · 10th to 90th $851 to $11,220Professionalmedian $1,413 · 10th to 90th $209 to $2,344
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 $3,162.28 Median $9,772.37 Typical High $12,882.50 | Facility | None | $3,162.28 | $9,772.37 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $9,120.11 | Professional | None | $1,621.81 | $1,621.81 | $9,120.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $2,398.83 Typical High $9,772.37 | Facility | None | $933.25 | $2,398.83 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,412.54 | $1,778.28 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $281.84 Typical High $1,412.54 | Professional | 80 · Assistant surgeon | $229.09 | $281.84 | $1,412.54 |
CareSource Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $4,466.84 Typical High $7,585.78 | Facility | None | $549.54 | $4,466.84 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,235.94 | Professional | None | $1,778.28 | $2,238.72 | $3,235.94 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $549.54 | $4,466.84 | $7,079.46 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,778.28 | $2,238.72 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $1,174.90 Typical High $1,995.26 | Professional | None | $177.83 | $1,174.90 | $1,995.26 |
SummaCare Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
SummaCare Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,548.82 | $1,698.24 | $2,238.72 |
United Setting Facility Modifier None Typical Low $912.01 Median $3,388.44 Typical High $11,748.98 | Facility | None | $912.01 | $3,388.44 | $11,748.98 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,096.48 | $1,905.46 | $3,162.28 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,122.02 Typical High $1,698.24 | Professional | 62 · Two surgeons | $891.25 | $1,122.02 | $1,698.24 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $251.19 Typical High $380.19 | Professional | AS · PA/NP assist | $199.53 | $251.19 | $380.19 |
Where Ohio sits
The same service costs 4.7 times more in Alaska 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
AK $16,761KY $3,555
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.