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 $1,737.80 Median $2,041.74 Typical High $2,754.23 | Facility | None | $1,737.80 | $2,041.74 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,238.72 | $2,884.03 |
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 $1,698.24 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,698.24 | $2,089.30 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,318.26 Typical High $1,737.80 | Professional | 62 · Two surgeons | $1,071.52 | $1,318.26 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $275.42 Median $331.13 Typical High $436.52 | Professional | 80 · Assistant surgeon | $275.42 | $331.13 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $295.12 Typical High $380.19 | Professional | AS · PA/NP assist | $239.88 | $295.12 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,905.46 | $2,951.21 |
CareSource Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,630.27 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $512.86 Typical High $3,388.44 | Facility | None | $34.67 | $512.86 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,630.78 Typical High $10,471.29 | Professional | None | $1,905.46 | $3,630.78 | $10,471.29 |
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 $2,187.76 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,187.76 | $2,884.03 | $4,073.80 |
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 $1,513.56 Median $1,659.59 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,513.56 | $1,659.59 | $2,187.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,548.82 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,548.82 | $2,041.74 |
Where Kentucky sits
The same service costs 5.4 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· 45th of 51
$2,138
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.