How much rates vary
Facilitymedian $5,370 · 10th to 90th $891 to $12,303Professionalmedian $1,995 · 10th to 90th $1,175 to $3,090
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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $11,748.98 Typical High $13,803.84 | Facility | None | $2,754.23 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,174.90 | $2,238.72 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $3,311.31 Typical High $4,466.84 | Professional | 50 · Both sides | $1,737.80 | $3,311.31 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $346.74 Typical High $478.63 | Professional | 80 · Assistant surgeon | $186.21 | $346.74 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $309.03 Typical High $416.87 | Professional | AS · PA/NP assist | $162.18 | $309.03 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,691.53 Typical High $4,786.30 | Facility | None | $851.14 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,951.21 | Professional | None | $1,778.28 | $2,089.30 | $2,951.21 |
ConnectiCare Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,380.38 | $1,778.28 | $2,290.87 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $3,388.44 | Professional | None | $1,000.00 | $1,862.09 | $3,388.44 |
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 $977.24 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $977.24 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $912.01 | $1,348.96 | $1,348.96 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Maryland. 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
AK $8,759MD $2,608
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.