How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,000 to $6,761Professionalmedian $1,148 · 10th to 90th $851 to $2,570
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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,288.25 | Professional | None | $870.96 | $1,047.13 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,698.24 | Professional | None | $851.14 | $1,096.48 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,258.93 Median $1,659.59 Typical High $2,454.71 | Professional | 50 · Both sides | $1,258.93 | $1,659.59 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $177.83 Typical High $263.03 | Professional | 80 · Assistant surgeon | $138.04 | $177.83 | $263.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $154.88 Typical High $229.09 | Professional | AS · PA/NP assist | $120.23 | $154.88 | $229.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,348.96 | Professional | None | $954.99 | $1,023.29 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $6,760.83 | Facility | None | $851.14 | $1,621.81 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $2,089.30 | Professional | None | $870.96 | $1,122.02 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,905.46 Typical High $6,760.83 | Facility | None | $54.95 | $1,905.46 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $7,762.47 | Professional | None | $1,000.00 | $1,548.82 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,041.74 | Professional | None | $912.01 | $1,318.26 | $2,041.74 |
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 $645.65 Median $794.33 Typical High $851.14 | Professional | 54 · Surgery only | $645.65 | $794.33 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $741.31 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $602.56 | $741.31 | $794.33 |
Where Missouri 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.