How much rates vary
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 $190.55 Median $257.04 Typical High $3,235.94 | Facility | None | $190.55 | $257.04 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $316.23 | Professional | None | $190.55 | $251.19 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $5,011.87 Typical High $11,220.18 | Facility | None | $758.58 | $5,011.87 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $309.03 | Professional | None | $154.88 | $186.21 | $309.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $281.84 Typical High $467.74 | Professional | 50 · Both sides | $234.42 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $97.72 Median $117.49 Typical High $194.98 | Professional | 62 · Two surgeons | $97.72 | $117.49 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $331.13 | Facility | None | $204.17 | $239.88 | $331.13 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $331.13 | Professional | None | $186.21 | $269.15 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $218.78 Typical High $691.83 | Facility | None | $34.67 | $218.78 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $1,949.84 | Professional | None | $213.80 | $316.23 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $190.55 | Professional | None | $33.11 | $33.11 | $190.55 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $5,128.61 | Facility | None | $741.31 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $501.19 | Professional | None | $223.87 | $338.84 | $501.19 |
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 Facility Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $165.96 Typical High $223.87 | Facility | 78 · Unplanned return to OR | $131.83 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $173.78 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $131.83 | $173.78 | $223.87 |
Where Kentucky sits
The same service costs 5.0 times more in Alaska than in Texas. 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.
Kentucky· 47th of 51
$245
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.