How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,000 to $28,184Professionalmedian $912 · 10th to 90th $708 to $1,380
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 $1,148.15 Typical High $13,489.63 | Facility | None | $794.33 | $1,148.15 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,258.93 | Professional | None | $707.95 | $776.25 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $14,454.40 Typical High $33,113.11 | Facility | None | $1,778.28 | $14,454.40 | $33,113.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,288.25 | Professional | None | $707.95 | $977.24 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,479.11 Typical High $1,949.84 | Professional | 50 · Both sides | $1,071.52 | $1,479.11 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $158.49 Typical High $213.80 | Professional | 80 · Assistant surgeon | $114.82 | $158.49 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $138.04 Typical High $181.97 | Professional | AS · PA/NP assist | $100.00 | $138.04 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $9,772.37 | Facility | None | $851.14 | $851.14 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,754.40 Typical High $10,471.29 | Facility | None | $812.83 | $5,754.40 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $3,981.07 | Professional | None | $776.25 | $933.25 | $3,981.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $2,089.30 Median $9,772.37 Typical High $12,589.25 | Facility | None | $2,089.30 | $9,772.37 | $12,589.25 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,659.59 | Professional | None | $851.14 | $1,174.90 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,128.61 Typical High $14,454.40 | Facility | None | $1,230.27 | $5,128.61 | $14,454.40 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,445.44 | Professional | None | $660.69 | $851.14 | $1,445.44 |
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 $524.81 Median $575.44 Typical High $630.96 | Professional | 54 · Surgery only | $524.81 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $537.03 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $489.78 | $537.03 | $588.84 |
Where Indiana sits
The same service costs 5.4 times more in Alaska than in Montana. 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 $14,353MT $2,667
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.