How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $407.38 | Professional | None | $281.84 | $281.84 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $426.58 | Professional | None | $213.80 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $446.68 Typical High $645.65 | Professional | 50 · Both sides | $331.13 | $446.68 | $645.65 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $138.04 Median $190.55 Typical High $269.15 | Professional | 62 · Two surgeons | $138.04 | $190.55 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $478.63 Typical High $2,290.87 | Facility | None | $208.93 | $478.63 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $549.54 | Professional | None | $302.00 | $426.58 | $549.54 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,513.56 | $2,238.72 | $3,890.45 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $575.44 | Professional | None | $251.19 | $380.19 | $575.44 |
Martin's Point Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $407.38 | Professional | None | $281.84 | $281.84 | $407.38 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,513.56 | $2,238.72 | $3,890.45 |
United Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $549.54 | Professional | None | $229.09 | $331.13 | $549.54 |
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 78 · Unplanned return to OR Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $199.53 | $199.53 | $288.40 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $199.53 | $199.53 | $288.40 |
Where Maine 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.
Maine· 31st of 51
$331
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.