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 Facility Modifier None Typical Low $338.84 Median $7,244.36 Typical High $16,218.10 | Facility | None | $338.84 | $7,244.36 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $758.58 | Professional | None | $295.12 | $338.84 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $2,290.87 | Facility | None | $457.09 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $870.96 | Professional | None | $275.42 | $281.84 | $870.96 |
United Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $4,265.80 | Facility | None | $275.42 | $446.68 | $4,265.80 |
United Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $660.69 | Professional | None | $288.40 | $331.13 | $660.69 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 82 · Assistant surgeon, no resident | $467.74 | $467.74 | $467.74 |
Where Delaware sits
The same service costs 3.9 times more in Wisconsin than in New York. 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.
Delaware· 42nd of 51
$355
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.