How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,072 to $6,761Professionalmedian $1,413 · 10th to 90th $1,122 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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,258.93 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,348.96 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $1,995.26 Typical High $3,090.30 | Professional | 50 · Both sides | $1,698.24 | $1,995.26 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $213.80 Typical High $338.84 | Professional | 80 · Assistant surgeon | $181.97 | $213.80 | $338.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $186.21 Typical High $295.12 | Professional | AS · PA/NP assist | $158.49 | $186.21 | $295.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,258.93 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $6,760.83 | Facility | None | $851.14 | $1,621.81 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,380.38 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,949.84 Typical High $6,760.83 | Facility | None | $54.95 | $1,949.84 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $9,120.11 | Professional | None | $1,230.27 | $1,995.26 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,621.81 | $2,511.89 |
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 $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $794.33 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $870.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $741.31 | $870.96 | $977.24 |
Where Missouri 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.