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 $2,511.89 Median $6,309.57 Typical High $16,218.10 | Facility | None | $2,511.89 | $6,309.57 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,344.23 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $4,677.35 Typical High $12,302.69 | Facility | None | $1,318.26 | $4,677.35 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,995.26 | $2,238.72 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,412.54 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,258.93 | $1,412.54 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $363.08 Typical High $562.34 | Professional | 80 · Assistant surgeon | $316.23 | $363.08 | $562.34 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $316.23 Typical High $489.78 | Professional | AS · PA/NP assist | $275.42 | $316.23 | $489.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $3,162.28 | Professional | None | $2,238.72 | $2,454.71 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $11,481.54 Typical High $16,982.44 | Facility | None | $707.95 | $11,481.54 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $4,677.35 | Professional | None | $1,949.84 | $2,454.71 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $5,011.87 Typical High $19,054.61 | Facility | None | $1,412.54 | $5,011.87 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $16,218.10 | Professional | None | $2,187.76 | $3,630.78 | $16,218.10 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $6,309.57 Typical High $19,498.45 | Facility | None | $1,174.90 | $6,309.57 | $19,498.45 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $4,677.35 | Professional | None | $2,041.74 | $2,691.53 | $4,677.35 |
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 $1,479.11 Median $1,778.28 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,479.11 | $1,778.28 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,659.59 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,659.59 | $1,819.70 |
Where Missouri 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.
Missouri· 34th of 51
$2,570
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.