How much rates vary
Facilitymedian $5,248 · 10th to 90th $891 to $12,303Professionalmedian $676 · 10th to 90th $389 to $1,023
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 $426.58 Median $616.60 Typical High $660.69 | Professional | None | $426.58 | $616.60 | $660.69 |
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 $398.11 Median $741.31 Typical High $1,023.29 | Professional | None | $398.11 | $741.31 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $1,096.48 Typical High $1,513.56 | Professional | 50 · Both sides | $575.44 | $1,096.48 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $117.49 Typical High $162.18 | Professional | 80 · Assistant surgeon | $61.66 | $117.49 | $162.18 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $100.00 Typical High $141.25 | Professional | AS · PA/NP assist | $53.70 | $100.00 | $141.25 |
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 $588.84 Median $676.08 Typical High $954.99 | Professional | None | $588.84 | $676.08 | $954.99 |
ConnectiCare Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $741.31 | Professional | None | $457.09 | $602.56 | $741.31 |
Health New England Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Health New England Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
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 $323.59 Median $602.56 Typical High $1,122.02 | Professional | None | $323.59 | $602.56 | $1,122.02 |
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 $323.59 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $323.59 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $302.00 | $436.52 | $436.52 |
Where Connecticut sits
The same service costs 5.1 times more in Colorado than in Montana. 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
CO $6,741MT $1,322
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.