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 $2,137.96 Median $2,344.23 Typical High $3,162.28 | Facility | None | $2,137.96 | $2,344.23 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,570.40 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $5,370.32 Typical High $10,715.19 | Facility | None | $3,162.28 | $5,370.32 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $3,235.94 | Professional | None | $1,995.26 | $2,570.40 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,621.81 Typical High $2,041.74 | Professional | 62 · Two surgeons | $1,258.93 | $1,621.81 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $407.38 Typical High $512.86 | Professional | 80 · Assistant surgeon | $316.23 | $407.38 | $512.86 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $354.81 Typical High $446.68 | Professional | AS · PA/NP assist | $281.84 | $354.81 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $3,467.37 | Facility | None | $1,819.70 | $2,187.76 | $3,467.37 |
CareSource Setting Professional Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $3,548.13 | Professional | None | $2,137.96 | $3,019.95 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $3,801.89 | Facility | None | $34.67 | $691.83 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $4,265.80 Typical High $12,882.50 | Professional | None | $2,187.76 | $4,265.80 | $12,882.50 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,630.27 | $3,548.13 | $4,786.30 |
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 $1,737.80 Median $1,949.84 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,737.80 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,819.70 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,819.70 | $2,344.23 |
Where Kentucky sits
The same service costs 6.5 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.
Kentucky· 37th of 51
$2,630
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.