How much rates vary
Facilitymedian $1,585 · 10th to 90th $447 to $5,012Professionalmedian $1,230 · 10th to 90th $1,000 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 $1,548.82 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,548.82 | $3,981.07 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,621.81 | Professional | None | $891.25 | $1,047.13 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,122.02 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $181.97 Typical High $323.59 | Professional | 80 · Assistant surgeon | $158.49 | $181.97 | $323.59 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $158.49 Typical High $281.84 | Professional | AS · PA/NP assist | $138.04 | $158.49 | $281.84 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,096.48 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $5,248.07 | Facility | None | $851.14 | $1,621.81 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,445.44 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,445.44 Typical High $6,760.83 | Facility | None | $54.95 | $1,445.44 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $7,585.78 | Professional | None | $1,230.27 | $1,819.70 | $7,585.78 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,513.56 | $2,398.83 |
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 $660.69 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $660.69 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $616.60 | $741.31 | $812.83 |
Where Missouri 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.