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 $1,995.26 Median $2,187.76 Typical High $2,951.21 | Facility | None | $1,995.26 | $2,187.76 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,995.26 | $2,398.83 | $3,090.30 |
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 $1,905.46 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,905.46 | $2,398.83 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,818.38 Median $3,630.78 Typical High $4,466.84 | Professional | 50 · Both sides | $2,818.38 | $3,630.78 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,513.56 Typical High $1,905.46 | Professional | 62 · Two surgeons | $1,202.26 | $1,513.56 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $380.19 Typical High $478.63 | Professional | 80 · Assistant surgeon | $302.00 | $380.19 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $338.84 Typical High $416.87 | Professional | AS · PA/NP assist | $263.03 | $338.84 | $416.87 |
CareSource Setting Facility Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $3,235.94 | Facility | None | $1,698.24 | $2,041.74 | $3,235.94 |
CareSource Setting Professional Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $3,311.31 | Professional | None | $1,819.70 | $2,818.38 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $3,548.13 | Facility | None | $34.67 | $691.83 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,981.07 Typical High $12,022.64 | Professional | None | $2,089.30 | $3,981.07 | $12,022.64 |
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 $2,454.71 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,454.71 | $3,311.31 | $4,466.84 |
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 $1,621.81 Median $1,819.70 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,621.81 | $1,819.70 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,698.24 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,698.24 | $2,187.76 |
Where Kentucky sits
The same service costs 6.3 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
$2,455
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.