How much rates vary
Facilitymedian $1,549 · 10th to 90th $646 to $7,943Professionalmedian $363 · 10th to 90th $65 to $575
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 $724.44 Median $4,168.69 Typical High $11,220.18 | Facility | None | $724.44 | $4,168.69 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $3,801.89 | Professional | None | $398.11 | $398.11 | $3,801.89 |
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 $323.59 Median $407.38 Typical High $630.96 | Professional | None | $323.59 | $407.38 | $630.96 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $1,513.56 | Facility | None | $512.86 | $1,174.90 | $1,513.56 |
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 $416.87 Median $524.81 Typical High $758.58 | Professional | None | $416.87 | $524.81 | $758.58 |
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 $416.87 Median $524.81 Typical High $758.58 | Professional | None | $416.87 | $524.81 | $758.58 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $302.00 Typical High $489.78 | Professional | None | $54.95 | $302.00 | $489.78 |
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 $363.08 Median $398.11 Typical High $524.81 | Professional | None | $363.08 | $398.11 | $524.81 |
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 $257.04 Median $436.52 Typical High $758.58 | Professional | None | $257.04 | $436.52 | $758.58 |
5 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 $302.00 Median $302.00 Typical High $933.25 | Professional | 54 · Surgery only | $302.00 | $302.00 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $870.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $602.56 Typical High $933.25 | Professional | 50 · Both sides | $478.63 | $602.56 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $64.57 Typical High $100.00 | Professional | 80 · Assistant surgeon | $51.29 | $64.57 | $100.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $56.23 Typical High $89.13 | Professional | AS · PA/NP assist | $44.67 | $56.23 | $89.13 |
Where Ohio 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.