How much rates vary
Facilitymedian $1,096 · 10th to 90th $525 to $5,248Professionalmedian $1,096 · 10th to 90th $871 to $1,585
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 $794.33 Median $954.99 Typical High $5,248.07 | Facility | None | $794.33 | $954.99 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,096.48 | Professional | None | $870.96 | $954.99 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $7,244.36 Typical High $11,220.18 | Facility | None | $758.58 | $7,244.36 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,318.26 | Professional | None | $870.96 | $1,047.13 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $169.82 Typical High $213.80 | Professional | 80 · Assistant surgeon | $138.04 | $169.82 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $147.91 Typical High $186.21 | Professional | AS · PA/NP assist | $120.23 | $147.91 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $1,548.82 Typical High $2,041.74 | Facility | None | $812.83 | $1,548.82 | $2,041.74 |
CareSource Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,348.96 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,445.44 Typical High $1,949.84 | Facility | None | $34.67 | $1,445.44 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $5,128.61 | Professional | None | $1,000.00 | $1,445.44 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,454.71 | Facility | None | $457.09 | $794.33 | $2,454.71 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,202.26 | $1,949.84 |
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 $645.65 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $602.56 | $676.08 | $776.25 |
Where Kentucky 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.