How much rates vary
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 $389.05 Median $549.54 Typical High $5,248.07 | Facility | None | $389.05 | $549.54 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $549.54 | Professional | None | $436.52 | $489.78 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $4,265.80 | Facility | None | $724.44 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $616.60 | Professional | None | $407.38 | $478.63 | $616.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $707.95 Typical High $933.25 | Professional | 50 · Both sides | $602.56 | $707.95 | $933.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $257.04 Median $302.00 Typical High $389.05 | Professional | 62 · Two surgeons | $257.04 | $302.00 | $389.05 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $75.86 Typical High $100.00 | Professional | 80 · Assistant surgeon | $64.57 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | AS · PA/NP assist | $56.23 | $66.07 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,548.82 | Facility | None | $478.63 | $776.25 | $1,548.82 |
CareSource Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $794.33 | Professional | None | $537.03 | $660.69 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,659.59 | Facility | None | $870.96 | $1,096.48 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $2,454.71 | Professional | None | $501.19 | $602.56 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $263.03 | Professional | None | $33.11 | $33.11 | $263.03 |
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 $446.68 Median $575.44 Typical High $891.25 | Professional | None | $446.68 | $575.44 | $891.25 |
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 $331.13 Median $363.08 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $389.05 |
Where Kentucky sits
The same service costs 8.1 times more in Alaska than in Texas. 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.
Kentucky· 44th of 51
$513
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.