How much rates vary
Facilitymedian $6,026 · 10th to 90th $977 to $15,849Professionalmedian $1,862 · 10th to 90th $257 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 $3,548.13 Median $10,232.93 Typical High $19,498.45 | Facility | None | $3,548.13 | $10,232.93 | $19,498.45 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $7,762.47 | Professional | None | $2,290.87 | $2,290.87 | $7,762.47 |
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 $1,584.89 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,584.89 | $1,995.26 | $3,388.44 |
CareSource Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $10,964.78 Typical High $18,620.87 | Facility | None | $549.54 | $10,964.78 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,290.87 | $2,951.21 | $4,168.69 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $10,964.78 Typical High $17,782.79 | Facility | None | $549.54 | $10,964.78 | $17,782.79 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $3,981.07 | Professional | None | $2,398.83 | $2,951.21 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $1,513.56 Typical High $2,691.53 | Professional | None | $213.80 | $1,513.56 | $2,691.53 |
SummaCare Setting Facility Modifier None Typical Low $6,025.60 Median $6,309.57 Typical High $7,244.36 | Facility | None | $6,025.60 | $6,309.57 | $7,244.36 |
SummaCare Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,290.87 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,265.80 Typical High $14,454.40 | Facility | None | $1,071.52 | $4,265.80 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $4,265.80 | Professional | None | $1,445.44 | $2,398.83 | $4,265.80 |
5 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 $1,737.80 Median $1,737.80 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $3,019.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,258.93 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,000.00 | $1,258.93 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $316.23 Typical High $549.54 | Professional | 80 · Assistant surgeon | $251.19 | $316.23 | $549.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $275.42 Typical High $489.78 | Professional | AS · PA/NP assist | $223.87 | $275.42 | $489.78 |
Where Ohio 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.
Ohio· 48th of 51
$1,905
AK $9,550TX $1,175
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.