How much rates vary
Facilitymedian $3,802 · 10th to 90th $832 to $14,125Professionalmedian $490 · 10th to 90th $372 to $692
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 $478.63 Median $660.69 Typical High $11,220.18 | Facility | None | $478.63 | $660.69 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $537.03 | Professional | None | $371.54 | $389.05 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $7,413.10 Typical High $17,378.01 | Facility | None | $1,096.48 | $7,413.10 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $645.65 | Professional | None | $371.54 | $489.78 | $645.65 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $741.31 Typical High $977.24 | Professional | 50 · Both sides | $562.34 | $741.31 | $977.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $77.62 Typical High $107.15 | Professional | 80 · Assistant surgeon | $58.88 | $77.62 | $107.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $69.18 Typical High $91.20 | Professional | AS · PA/NP assist | $52.48 | $69.18 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $2,511.89 | Facility | None | $426.58 | $426.58 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,995.26 Typical High $3,715.35 | Facility | None | $933.25 | $1,995.26 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $2,041.74 | Professional | None | $398.11 | $489.78 | $2,041.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,122.02 Median $2,570.40 Typical High $4,168.69 | Facility | None | $1,122.02 | $2,570.40 | $4,168.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $812.83 | Professional | None | $446.68 | $602.56 | $812.83 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,943.28 | Facility | None | $1,000.00 | $3,311.31 | $7,943.28 |
United Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $741.31 | Professional | None | $331.13 | $457.09 | $741.31 |
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 $269.15 Median $288.40 Typical High $323.59 | Professional | 54 · Surgery only | $269.15 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $269.15 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $251.19 | $269.15 | $302.00 |
Where Indiana sits
The same service costs 4.9 times more in Colorado 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
CO $6,755MT $1,384
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.