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 $2,089.30 Median $4,897.79 Typical High $7,762.47 | Facility | None | $2,089.30 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,398.83 | $2,570.40 |
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 $2,041.74 Median $2,511.89 Typical High $4,073.80 | Professional | None | $2,041.74 | $2,511.89 | $4,073.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,584.89 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,288.25 | $1,584.89 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $398.11 Typical High $660.69 | Professional | 80 · Assistant surgeon | $331.13 | $398.11 | $660.69 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $346.74 Typical High $575.44 | Professional | AS · PA/NP assist | $288.40 | $346.74 | $575.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,041.74 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $5,888.44 | Professional | None | $1,905.46 | $2,570.40 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,348.96 Typical High $10,964.78 | Facility | None | $54.95 | $1,348.96 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $18,620.87 | Professional | None | $2,691.53 | $4,897.79 | $18,620.87 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $6,025.60 | Professional | None | $2,290.87 | $3,467.37 | $6,025.60 |
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 $1,584.89 Median $1,819.70 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,584.89 | $1,819.70 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,698.24 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,698.24 | $1,819.70 |
Where Missouri sits
The same service costs 5.5 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.
Missouri· 30th of 51
$2,630
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.