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 $1,000.00 Median $1,995.26 Typical High $7,943.28 | Facility | None | $1,000.00 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,041.74 | $2,454.71 |
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 $1,621.81 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,621.81 | $1,905.46 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,202.26 Typical High $1,659.59 | Professional | 62 · Two surgeons | $1,000.00 | $1,202.26 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $302.00 Typical High $426.58 | Professional | 80 · Assistant surgeon | $257.04 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $263.03 Typical High $371.54 | Professional | AS · PA/NP assist | $223.87 | $263.03 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $3,467.37 | Facility | None | $1,819.70 | $2,187.76 | $3,467.37 |
CareSource Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,548.13 | Professional | None | $2,398.83 | $2,884.03 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $3,890.45 Typical High $14,125.38 | Facility | None | $34.67 | $3,890.45 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $10,964.78 | Professional | None | $2,089.30 | $2,630.27 | $10,964.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $1,202.26 | Professional | None | $33.11 | $33.11 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $3,162.28 Typical High $14,791.08 | Facility | None | $1,148.15 | $3,162.28 | $14,791.08 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,344.23 | $3,890.45 |
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 $1,445.44 Median $1,548.82 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,445.44 | $1,548.82 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,445.44 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,445.44 | $1,737.80 |
Where Kentucky sits
The same service costs 8.1 times more in Alaska than in Texas. 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.
Kentucky· 46th of 51
$1,995
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.