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 $1,778.28 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,778.28 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,778.28 | $2,041.74 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $3,467.37 Typical High $7,762.47 | Facility | None | $1,479.11 | $3,467.37 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,238.72 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,412.54 Typical High $2,344.23 | Professional | 62 · Two surgeons | $1,047.13 | $1,412.54 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $354.81 Typical High $588.84 | Professional | 80 · Assistant surgeon | $269.15 | $354.81 | $588.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $316.23 Typical High $524.81 | Professional | AS · PA/NP assist | $234.42 | $316.23 | $524.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,621.81 | $1,737.80 | $2,344.23 |
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 $1,621.81 Median $2,238.72 Typical High $5,011.87 | Professional | None | $1,621.81 | $2,238.72 | $5,011.87 |
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 $2,398.83 Median $4,168.69 Typical High $21,379.62 | Professional | None | $2,398.83 | $4,168.69 | $21,379.62 |
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 $1,949.84 Median $2,951.21 Typical High $5,128.61 | Professional | None | $1,949.84 | $2,951.21 | $5,128.61 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,445.44 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,445.44 | $1,548.82 |
Where Missouri sits
The same service costs 5.6 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· 18th of 51
$2,512
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.