How much rates vary
Facilitymedian $2,570 · 10th to 90th $832 to $9,333Professionalmedian $2,344 · 10th to 90th $1,950 to $3,548
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 $891.25 Median $2,511.89 Typical High $8,511.38 | Facility | None | $891.25 | $2,511.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,344.23 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $9,332.54 Typical High $11,220.18 | Facility | None | $758.58 | $9,332.54 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,290.87 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,445.44 Typical High $1,949.84 | Professional | 62 · Two surgeons | $1,202.26 | $1,445.44 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $363.08 Typical High $501.19 | Professional | 80 · Assistant surgeon | $309.03 | $363.08 | $501.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $316.23 Typical High $436.52 | Professional | AS · PA/NP assist | $269.15 | $316.23 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $3,548.13 | Facility | None | $1,905.46 | $2,238.72 | $3,548.13 |
CareSource Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,630.78 | Professional | None | $2,454.71 | $3,019.95 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $3,890.45 Typical High $4,466.84 | Facility | None | $34.67 | $3,890.45 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $10,964.78 | Professional | None | $2,290.87 | $2,818.38 | $10,964.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $1,380.38 | Professional | None | $33.11 | $33.11 | $1,380.38 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $7,943.28 | Facility | None | $977.24 | $1,862.09 | $7,943.28 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $4,168.69 | Professional | None | $2,238.72 | $2,754.23 | $4,168.69 |
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 $1,513.56 Median $1,778.28 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,513.56 | $1,778.28 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,659.59 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,659.59 | $1,778.28 |
Where Kentucky 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.