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 $1,698.24 Median $10,232.93 Typical High $13,803.84 | Facility | None | $1,698.24 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $9,332.54 | Professional | None | $1,698.24 | $1,698.24 | $9,332.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $2,398.83 Typical High $9,772.37 | Facility | None | $954.99 | $2,398.83 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,258.93 | $1,479.11 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $933.25 Typical High $1,513.56 | Professional | 62 · Two surgeons | $794.33 | $933.25 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $239.88 Typical High $407.38 | Professional | 80 · Assistant surgeon | $204.17 | $239.88 | $407.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $208.93 Typical High $338.84 | Professional | AS · PA/NP assist | $177.83 | $208.93 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $2,691.53 | Facility | None | $426.58 | $588.84 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,513.56 | $1,862.09 | $3,467.37 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,691.53 | Facility | None | $426.58 | $602.56 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,513.56 | $1,862.09 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $1,318.26 Typical High $1,819.70 | Professional | None | $114.82 | $1,318.26 | $1,819.70 |
SummaCare Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,818.38 | Professional | None | $1,479.11 | $1,621.81 | $2,818.38 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $4,677.35 | Facility | None | $371.54 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $4,570.88 | Professional | None | $1,584.89 | $1,995.26 | $4,570.88 |
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 $1,258.93 Median $1,258.93 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $3,548.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $3,311.31 |
Where Ohio 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.
Ohio· 48th of 51
$1,479
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.