How much rates vary
Facilitymedian $1,148 · 10th to 90th $513 to $5,248Professionalmedian $407 · 10th to 90th $79 to $661
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 $1,819.70 Median $4,365.16 Typical High $12,589.25 | Facility | None | $1,819.70 | $4,365.16 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $3,548.13 | Professional | None | $512.86 | $512.86 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,148.15 Typical High $4,466.84 | Facility | None | $524.81 | $1,148.15 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $741.31 | Professional | None | $354.81 | $446.68 | $741.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $75.86 Typical High $354.81 | Professional | 80 · Assistant surgeon | $56.23 | $75.86 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $1,174.90 | Facility | None | $645.65 | $891.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $1,995.26 | Facility | None | $512.86 | $1,000.00 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $933.25 | Professional | None | $524.81 | $645.65 | $933.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $1,995.26 | Facility | None | $512.86 | $1,000.00 | $1,995.26 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $933.25 | Professional | None | $524.81 | $645.65 | $933.25 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $331.13 Typical High $575.44 | Professional | None | $70.79 | $331.13 | $575.44 |
SummaCare Setting Facility Modifier None Typical Low $489.78 Median $512.86 Typical High $588.84 | Facility | None | $489.78 | $512.86 | $588.84 |
SummaCare Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $660.69 | Professional | None | $457.09 | $512.86 | $660.69 |
United Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $4,677.35 | Facility | None | $501.19 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $933.25 | Professional | None | $323.59 | $537.03 | $933.25 |
5 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 $380.19 Median $380.19 Typical High $1,288.25 | Professional | 54 · Surgery only | $380.19 | $380.19 | $1,288.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $660.69 Typical High $1,096.48 | Professional | 50 · Both sides | $537.03 | $660.69 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $223.87 Median $281.84 Typical High $467.74 | Professional | 62 · Two surgeons | $223.87 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $61.66 Typical High $104.71 | Professional | AS · PA/NP assist | $50.12 | $61.66 | $104.71 |
Where Ohio 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.
Ohio· 47th of 51
$427
AK $2,138TX $263
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.