How much rates vary
Facilitymedian $1,318 · 10th to 90th $708 to $5,888Professionalmedian $1,318 · 10th to 90th $1,047 to $1,862
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 $794.33 Median $1,202.26 Typical High $2,630.27 | Facility | None | $794.33 | $1,202.26 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,202.26 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $7,244.36 Typical High $11,220.18 | Facility | None | $758.58 | $7,244.36 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,318.26 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $1,949.84 Typical High $2,238.72 | Professional | 50 · Both sides | $1,548.82 | $1,949.84 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $208.93 Typical High $245.47 | Professional | 80 · Assistant surgeon | $165.96 | $208.93 | $245.47 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $181.97 Typical High $208.93 | Professional | AS · PA/NP assist | $144.54 | $181.97 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,041.74 | Facility | None | $977.24 | $1,548.82 | $2,041.74 |
CareSource Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,548.82 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,445.44 Typical High $2,344.23 | Facility | None | $34.67 | $1,445.44 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $6,309.57 | Professional | None | $1,202.26 | $1,513.56 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $724.44 | Professional | None | $33.11 | $33.11 | $724.44 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $3,890.45 | Facility | None | $707.95 | $1,174.90 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,513.56 | $2,238.72 |
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 $794.33 Median $891.25 Typical High $977.24 | Professional | 54 · Surgery only | $794.33 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $831.76 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $741.31 | $831.76 | $912.01 |
Where Kentucky 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.