How much rates vary
Facilitymedian $3,631 · 10th to 90th $692 to $10,965Professionalmedian $525 · 10th to 90th $89 to $871
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 $2,691.53 Median $8,511.38 Typical High $13,803.84 | Facility | None | $2,691.53 | $8,511.38 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $5,128.61 | Professional | None | $645.65 | $645.65 | $5,128.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $12,022.64 | Facility | None | $1,071.52 | $3,467.37 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,023.29 | Professional | None | $489.78 | $616.60 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $912.01 Typical High $1,548.82 | Professional | 50 · Both sides | $741.31 | $912.01 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $309.03 Median $389.05 Typical High $645.65 | Professional | 62 · Two surgeons | $309.03 | $389.05 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $831.76 Median $3,388.44 Typical High $4,365.16 | Facility | None | $831.76 | $3,388.44 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,467.37 Typical High $5,888.44 | Facility | None | $549.54 | $3,467.37 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,202.26 | Professional | None | $660.69 | $831.76 | $1,202.26 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $3,467.37 Typical High $5,623.41 | Facility | None | $549.54 | $3,467.37 | $5,623.41 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,202.26 | Professional | None | $660.69 | $831.76 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $416.87 Typical High $741.31 | Professional | None | $70.79 | $416.87 | $741.31 |
SummaCare Setting Facility Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,905.46 | $1,995.26 | $2,290.87 |
SummaCare Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $831.76 | Professional | None | $575.44 | $630.96 | $831.76 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $7,413.10 | Facility | None | $707.95 | $1,905.46 | $7,413.10 |
United Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $1,202.26 | Professional | None | $416.87 | $691.83 | $1,202.26 |
6 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 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $1,698.24 | Professional | 52 · Reduced service | $323.59 | $323.59 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $691.83 | Professional | 53 · Discontinued | $128.82 | $128.82 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $2,570.40 | Professional | 54 · Surgery only | $489.78 | $489.78 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $512.86 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $346.74 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $2,398.83 |
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· 48th of 51
$550
AK $2,754TX $339
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.