How much rates vary
Facilitymedian $3,890 · 10th to 90th $912 to $11,749Professionalmedian $1,698 · 10th to 90th $1,047 to $2,512
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,584.89 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $2,344.23 | Professional | None | $954.99 | $1,698.24 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $275.42 Typical High $371.54 | Professional | 80 · Assistant surgeon | $147.91 | $275.42 | $371.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $239.88 Typical High $331.13 | Professional | AS · PA/NP assist | $131.83 | $239.88 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $4,786.30 | Facility | None | $1,000.00 | $2,630.27 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,412.54 | $1,659.59 | $2,511.89 |
ConnectiCare Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,819.70 | $1,819.70 | $1,995.26 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,659.59 | $3,019.95 |
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 $831.76 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $831.76 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $776.25 | $1,096.48 | $1,096.48 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $7,428KY $2,193
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.