How much rates vary
Facilitymedian $3,981 · 10th to 90th $955 to $12,589Professionalmedian $1,622 · 10th to 90th $229 to $2,884
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 $2,238.72 Median $2,238.72 Typical High $7,762.47 | Professional | None | $2,238.72 | $2,238.72 | $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 $1,318.26 Median $1,621.81 Typical High $3,019.95 | Professional | None | $1,318.26 | $1,621.81 | $3,019.95 |
CareSource Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,630.78 Typical High $5,888.44 | Facility | None | $588.84 | $3,630.78 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,290.87 | $2,884.03 | $3,715.35 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $588.84 Median $3,630.78 Typical High $5,623.41 | Facility | None | $588.84 | $3,630.78 | $5,623.41 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,290.87 | $2,884.03 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $1,348.96 Typical High $2,511.89 | Professional | None | $194.98 | $1,348.96 | $2,511.89 |
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 $2,238.72 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,238.72 | $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 $1,412.54 Median $2,187.76 Typical High $4,073.80 | Professional | None | $1,412.54 | $2,187.76 | $4,073.80 |
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 $1,659.59 Median $1,659.59 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $3,890.45 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,023.29 Typical High $1,905.46 | Professional | 62 · Two surgeons | $831.76 | $1,023.29 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $275.42 Typical High $1,318.26 | Professional | 80 · Assistant surgeon | $208.93 | $275.42 | $1,318.26 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $229.09 Typical High $426.58 | Professional | AS · PA/NP assist | $181.97 | $229.09 | $426.58 |
Where Ohio 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.
Ohio· 49th of 51
$1,622
AK $9,333TX $1,023
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.