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 $1,318.26 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,318.26 | $1,548.82 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,513.56 | $1,698.24 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $6,760.83 Typical High $11,220.18 | Facility | None | $758.58 | $6,760.83 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,584.89 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $1,000.00 Typical High $1,288.25 | Professional | 62 · Two surgeons | $812.83 | $1,000.00 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $251.19 Typical High $331.13 | Professional | 80 · Assistant surgeon | $204.17 | $251.19 | $331.13 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $223.87 Typical High $288.40 | Professional | AS · PA/NP assist | $181.97 | $223.87 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $2,238.72 | Facility | None | $1,202.26 | $1,445.44 | $2,238.72 |
CareSource Setting Professional Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,949.84 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $2,570.40 | Facility | None | $34.67 | $691.83 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $7,943.28 | Professional | None | $1,445.44 | $2,754.23 | $7,943.28 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,187.76 | $3,090.30 |
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 $1,148.15 Median $1,258.93 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,148.15 | $1,258.93 | $1,659.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,174.90 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,174.90 | $1,548.82 |
Where Kentucky sits
The same service costs 5.9 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· 42nd of 51
$1,622
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.