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 $2,630.27 Median $10,232.93 Typical High $13,803.84 | Facility | None | $2,630.27 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $9,332.54 | Professional | None | $2,630.27 | $2,630.27 | $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 $2,041.74 Median $2,398.83 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,398.83 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,513.56 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,288.25 | $1,513.56 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $380.19 Typical High $602.56 | Professional | 80 · Assistant surgeon | $323.59 | $380.19 | $602.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $338.84 Typical High $537.03 | Professional | AS · PA/NP assist | $281.84 | $338.84 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
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 $2,398.83 Median $2,951.21 Typical High $5,623.41 | Professional | None | $2,398.83 | $2,951.21 | $5,623.41 |
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 $2,398.83 Median $2,951.21 Typical High $5,623.41 | Professional | None | $2,398.83 | $2,951.21 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $1,995.26 Typical High $2,884.03 | Professional | None | $186.21 | $1,995.26 | $2,884.03 |
SummaCare Setting Professional Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $4,365.16 | Professional | None | $2,290.87 | $2,511.89 | $4,365.16 |
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 $2,511.89 Median $3,162.28 Typical High $7,079.46 | Professional | None | $2,511.89 | $3,162.28 | $7,079.46 |
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 $1,862.09 Median $1,862.09 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $5,128.61 |
Where Ohio 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.
Ohio· 47th of 51
$2,344
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.