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 $1,905.46 Median $2,290.87 Typical High $2,570.40 | Professional | None | $1,905.46 | $2,290.87 | $2,570.40 |
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 $1,737.80 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,041.74 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,288.25 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,096.48 | $1,288.25 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $331.13 Typical High $549.54 | Professional | 80 · Assistant surgeon | $281.84 | $331.13 | $549.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $288.40 Typical High $478.63 | Professional | AS · PA/NP assist | $245.47 | $288.40 | $478.63 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,398.83 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,630.78 Typical High $5,370.32 | Facility | None | $707.95 | $3,630.78 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,344.23 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $5,011.87 Typical High $12,882.50 | Facility | None | $1,288.25 | $5,011.87 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $15,848.93 | Professional | None | $2,137.96 | $3,467.37 | $15,848.93 |
United Setting Facility Modifier None Typical Low $977.24 Median $5,011.87 Typical High $13,489.63 | Facility | None | $977.24 | $5,011.87 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $4,466.84 | Professional | None | $1,995.26 | $2,630.27 | $4,466.84 |
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 $1,737.80 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,445.44 | $1,737.80 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,621.81 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,621.81 | $1,778.28 |
Where Missouri sits
The same service costs 9.1 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· 35th of 51
$2,399
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.