How much rates vary
Facilitymedian $1,698 · 10th to 90th $661 to $8,511Professionalmedian $1,000 · 10th to 90th $129 to $1,622
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 $2,454.71 Median $7,244.36 Typical High $12,589.25 | Facility | None | $2,454.71 | $7,244.36 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $5,754.40 | Professional | None | $1,230.27 | $1,230.27 | $5,754.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $1,548.82 Typical High $7,585.78 | Facility | None | $616.60 | $1,548.82 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,258.93 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $199.53 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $162.18 | $199.53 | $1,000.00 |
CareSource Setting Facility Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,548.82 | Facility | None | $1,174.90 | $1,513.56 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $6,025.60 | Facility | None | $602.56 | $1,412.54 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,621.81 | $2,344.23 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $6,025.60 | Facility | None | $602.56 | $1,412.54 | $6,025.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,621.81 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $776.25 Typical High $1,348.96 | Professional | None | $107.15 | $776.25 | $1,348.96 |
SummaCare Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $758.58 | Facility | None | $645.65 | $676.08 | $758.58 |
SummaCare Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,174.90 | $1,548.82 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $6,165.95 | Facility | None | $691.83 | $1,445.44 | $6,165.95 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $2,344.23 | Professional | None | $794.33 | $1,348.96 | $2,344.23 |
4 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 $912.01 Median $912.01 Typical High $3,715.35 | Professional | 54 · Surgery only | $912.01 | $912.01 | $3,715.35 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,862.09 Typical High $2,884.03 | Professional | 50 · Both sides | $1,513.56 | $1,862.09 | $2,884.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $173.78 Typical High $275.42 | Professional | AS · PA/NP assist | $141.25 | $173.78 | $275.42 |
Where Ohio 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.