How much rates vary
Facilitymedian $3,388 · 10th to 90th $501 to $11,482Professionalmedian $1,995 · 10th to 90th $170 to $3,020
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 $2,089.30 Median $10,232.93 Typical High $13,803.84 | Facility | None | $2,089.30 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $10,232.93 | Professional | None | $2,089.30 | $2,089.30 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $6,025.60 Typical High $12,589.25 | Facility | None | $1,071.52 | $6,025.60 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,137.96 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,162.28 Typical High $5,011.87 | Professional | 50 · Both sides | $2,691.53 | $3,162.28 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,348.96 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,122.02 | $1,348.96 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $338.84 Typical High $562.34 | Professional | 80 · Assistant surgeon | $288.40 | $338.84 | $562.34 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $295.12 Typical High $478.63 | Professional | AS · PA/NP assist | $251.19 | $295.12 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $1,905.46 Median $2,344.23 Typical High $4,466.84 | Professional | None | $1,905.46 | $2,344.23 | $4,466.84 |
Medical Mutual of Ohio 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 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,466.84 | Professional | None | $1,905.46 | $2,344.23 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $1,737.80 Typical High $2,344.23 | Professional | None | $147.91 | $1,737.80 | $2,344.23 |
SummaCare Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,819.70 | $1,995.26 | $3,388.44 |
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 $1,995.26 Median $2,818.38 Typical High $5,623.41 | Professional | None | $1,995.26 | $2,818.38 | $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 $1,584.89 Median $1,584.89 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $3,981.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $3,715.35 |
Where Ohio 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.
Ohio· 46th of 51
$2,042
AK $7,586TX $1,479
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.