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 $1,949.84 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,949.84 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,511.89 | Professional | None | $1,949.84 | $2,290.87 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $3,890.45 Typical High $10,471.29 | Facility | None | $1,513.56 | $3,890.45 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $3,890.45 | Professional | None | $1,905.46 | $2,238.72 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,311.31 Typical High $5,754.40 | Professional | 50 · Both sides | $2,884.03 | $3,311.31 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,412.54 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,202.26 | $1,412.54 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $354.81 Typical High $616.60 | Professional | 80 · Assistant surgeon | $309.03 | $354.81 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $309.03 Typical High $537.03 | Professional | AS · PA/NP assist | $269.15 | $309.03 | $537.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,778.28 | $1,905.46 | $2,570.40 |
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 $1,819.70 Median $2,398.83 Typical High $5,495.41 | Professional | None | $1,819.70 | $2,398.83 | $5,495.41 |
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 $2,630.27 Median $4,677.35 Typical High $13,489.63 | Professional | None | $2,630.27 | $4,677.35 | $13,489.63 |
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 $2,137.96 Median $3,311.31 Typical High $5,623.41 | Professional | None | $2,137.96 | $3,311.31 | $5,623.41 |
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 $1,479.11 Median $1,698.24 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,479.11 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,584.89 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,584.89 | $1,698.24 |
Where Missouri sits
The same service costs 5.1 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· 31st 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.