How much rates vary
Facilitymedian $3,236 · 10th to 90th $871 to $14,125Professionalmedian $1,230 · 10th to 90th $891 to $1,738
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 $933.25 Median $5,011.87 Typical High $7,244.36 | Facility | None | $933.25 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,096.48 | Professional | None | $891.25 | $954.99 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,148.15 | $7,762.47 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,659.59 | Professional | None | $891.25 | $1,230.27 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $194.98 Typical High $288.40 | Professional | 80 · Assistant surgeon | $144.54 | $194.98 | $288.40 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $169.82 Typical High $229.09 | Professional | AS · PA/NP assist | $125.89 | $169.82 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,511.89 | Facility | None | $1,071.52 | $1,071.52 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $3,235.94 | Facility | None | $1,047.13 | $1,737.80 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,202.26 | $1,659.59 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $4,168.69 | Facility | None | $1,862.09 | $2,691.53 | $4,168.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,412.54 | $2,041.74 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,089.30 Typical High $4,677.35 | Facility | None | $512.86 | $2,089.30 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,258.93 | $2,089.30 |
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 $676.08 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $676.08 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $776.25 |
Where Indiana 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.