How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,047 to $14,454Professionalmedian $1,096 · 10th to 90th $891 to $1,660
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 $954.99 Median $5,011.87 Typical High $11,220.18 | Facility | None | $954.99 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,096.48 | Professional | None | $891.25 | $954.99 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $7,413.10 Typical High $17,378.01 | Facility | None | $1,122.02 | $7,413.10 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,445.44 | Professional | None | $891.25 | $1,096.48 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,659.59 Typical High $2,187.76 | Professional | 50 · Both sides | $1,318.26 | $1,659.59 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $177.83 Typical High $251.19 | Professional | 80 · Assistant surgeon | $141.25 | $177.83 | $251.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $154.88 Typical High $204.17 | Professional | AS · PA/NP assist | $123.03 | $154.88 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,511.89 | Facility | None | $1,071.52 | $1,071.52 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,995.26 Typical High $3,715.35 | Facility | None | $933.25 | $1,995.26 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $4,570.88 | Professional | None | $977.24 | $1,174.90 | $4,570.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $4,168.69 | Facility | None | $2,187.76 | $2,691.53 | $4,168.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,096.48 | $1,479.11 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,388.44 Typical High $7,943.28 | Facility | None | $1,000.00 | $3,388.44 | $7,943.28 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,862.09 | Professional | None | $851.14 | $1,096.48 | $1,862.09 |
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 $660.69 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $660.69 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $724.44 |
Where Indiana sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.