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 $2,511.89 Median $4,897.79 Typical High $7,762.47 | Facility | None | $2,511.89 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $3,090.30 | Professional | None | $2,511.89 | $2,884.03 | $3,090.30 |
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 $2,454.71 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,454.71 | $3,162.28 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $1,995.26 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,548.82 | $1,995.26 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $501.19 Typical High $812.83 | Professional | 80 · Assistant surgeon | $389.05 | $501.19 | $812.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $446.68 Typical High $707.95 | Professional | AS · PA/NP assist | $346.74 | $446.68 | $707.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,454.71 | $3,311.31 |
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 $2,290.87 Median $3,090.30 Typical High $6,918.31 | Professional | None | $2,290.87 | $3,090.30 | $6,918.31 |
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 $3,311.31 Median $5,888.44 Typical High $22,908.68 | Professional | None | $3,311.31 | $5,888.44 | $22,908.68 |
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 $2,691.53 Median $4,168.69 Typical High $7,244.36 | Professional | None | $2,691.53 | $4,168.69 | $7,244.36 |
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 $1,737.80 Median $2,041.74 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,041.74 | $2,187.76 |
Where Missouri sits
The same service costs 5.8 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· 28th of 51
$3,236
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.