How much rates vary
Facilitymedian $3,890 · 10th to 90th $891 to $12,023Professionalmedian $1,862 · 10th to 90th $295 to $3,090
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 $2,344.23 Median $2,344.23 Typical High $8,128.31 | Professional | None | $2,344.23 | $2,344.23 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $3,467.37 Typical High $12,022.64 | Facility | None | $1,096.48 | $3,467.37 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,187.76 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $380.19 Typical High $1,737.80 | Professional | 80 · Assistant surgeon | $281.84 | $380.19 | $1,737.80 |
Aultcare Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,467.37 Typical High $5,888.44 | Facility | None | $549.54 | $3,467.37 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,398.83 | $3,090.30 | $4,466.84 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $3,467.37 Typical High $5,623.41 | Facility | None | $549.54 | $3,467.37 | $5,623.41 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,454.71 | $3,090.30 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $1,548.82 Typical High $2,630.27 | Professional | None | $251.19 | $1,548.82 | $2,630.27 |
SummaCare Setting Facility Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,905.46 | $1,995.26 | $2,290.87 |
SummaCare Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,290.87 | $2,951.21 |
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 $1,513.56 Median $2,511.89 Typical High $4,365.16 | Professional | None | $1,513.56 | $2,511.89 | $4,365.16 |
4 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 $1,778.28 Median $1,778.28 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $3,311.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,380.38 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,096.48 | $1,380.38 | $2,238.72 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $309.03 Typical High $512.86 | Professional | AS · PA/NP assist | $245.47 | $309.03 | $512.86 |
Where Ohio 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.