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 $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 $446.68 Median $537.03 Typical High $660.69 | Professional | None | $446.68 | $537.03 | $660.69 |
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 $512.86 Median $602.56 Typical High $851.14 | Professional | None | $512.86 | $602.56 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $891.25 Typical High $1,258.93 | Professional | 50 · Both sides | $758.58 | $891.25 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $323.59 Median $380.19 Typical High $537.03 | Professional | 62 · Two surgeons | $323.59 | $380.19 | $537.03 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | 80 · Assistant surgeon | $81.28 | $95.50 | $134.90 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $83.18 Typical High $117.49 | Professional | AS · PA/NP assist | $70.79 | $83.18 | $117.49 |
BCBS Kansas City Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $724.44 | Professional | None | $501.19 | $537.03 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,230.27 Typical High $2,187.76 | Facility | None | $645.65 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $1,047.13 | Professional | None | $446.68 | $549.54 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,698.24 Typical High $16,218.10 | Facility | None | $602.56 | $1,698.24 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $4,466.84 | Professional | None | $501.19 | $794.33 | $4,466.84 |
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 $457.09 Median $630.96 Typical High $1,047.13 | Professional | None | $457.09 | $630.96 | $1,047.13 |
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 $398.11 Typical High $436.52 | Professional | 54 · Surgery only | $331.13 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $371.54 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $309.03 | $371.54 | $407.38 |
Where Missouri 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.
Missouri· 32nd of 51
$646
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.