How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,047 to $10,965Professionalmedian $759 · 10th to 90th $91 to $1,230
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 $5,754.40 Typical High $12,022.64 | Facility | None | $2,454.71 | $5,754.40 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $3,311.31 | Professional | None | $758.58 | $933.25 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $3,467.37 Typical High $12,022.64 | Facility | None | $1,096.48 | $3,467.37 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,412.54 | Professional | None | $676.08 | $851.14 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,288.25 Typical High $2,089.30 | Professional | 50 · Both sides | $1,023.29 | $1,288.25 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $537.03 Typical High $891.25 | Professional | 62 · Two surgeons | $426.58 | $537.03 | $891.25 |
Aultcare Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
CareSource Setting Facility Modifier None Typical Low $1,174.90 Median $4,570.88 Typical High $5,888.44 | Facility | None | $1,174.90 | $4,570.88 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,011.87 Typical High $7,585.78 | Facility | None | $602.56 | $5,011.87 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,778.28 | Professional | None | $933.25 | $1,202.26 | $1,778.28 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $5,011.87 Typical High $7,244.36 | Facility | None | $602.56 | $5,011.87 | $7,244.36 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,737.80 | Professional | None | $954.99 | $1,202.26 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $602.56 Typical High $1,047.13 | Professional | None | $70.79 | $602.56 | $1,047.13 |
SummaCare Setting Facility Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,884.03 | Facility | None | $2,454.71 | $2,570.40 | $2,884.03 |
SummaCare Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,174.90 | Professional | None | $812.83 | $891.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $912.01 Median $3,388.44 Typical High $11,748.98 | Facility | None | $912.01 | $3,388.44 | $11,748.98 |
United Setting Professional Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,737.80 | Professional | None | $602.56 | $1,000.00 | $1,737.80 |
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 $691.83 Median $691.83 Typical High $2,290.87 | Professional | 54 · Surgery only | $691.83 | $691.83 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $2,137.96 |
Where Ohio sits
The same service costs 5.8 times more in Colorado than in Kentucky. 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 $14,501KY $2,497
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.