How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,175 to $21,878Professionalmedian $3,890 · 10th to 90th $2,188 to $5,888
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 $4,570.88 Median $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,398.83 | $3,630.78 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $21,877.62 Typical High $25,703.96 | Facility | None | $1,548.82 | $21,877.62 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $5,754.40 | Professional | None | $2,238.72 | $4,168.69 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $2,630.27 Typical High $3,630.78 | Professional | 62 · Two surgeons | $1,380.38 | $2,630.27 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $660.69 Typical High $912.01 | Professional | 80 · Assistant surgeon | $354.81 | $660.69 | $912.01 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $588.84 Typical High $812.83 | Professional | AS · PA/NP assist | $309.03 | $588.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,585.78 Typical High $9,332.54 | Facility | None | $851.14 | $7,585.78 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,467.37 Typical High $5,623.41 | Professional | None | $3,019.95 | $3,467.37 | $5,623.41 |
ConnectiCare Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $4,168.69 | Professional | None | $2,290.87 | $3,388.44 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $3,388.44 Typical High $6,456.54 | Professional | None | $1,862.09 | $3,388.44 | $6,456.54 |
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 $1,905.46 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,905.46 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,570.40 | $2,570.40 |
Where Connecticut sits
The same service costs 4.0 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 $19,545KY $4,915
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.