How much rates vary
Facilitymedian $3,388 · 10th to 90th $501 to $11,482Professionalmedian $1,950 · 10th to 90th $166 to $2,951
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 $2,187.76 Median $10,232.93 Typical High $13,803.84 | Facility | None | $2,187.76 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $10,232.93 | Professional | None | $2,187.76 | $2,187.76 | $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 $1,862.09 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,862.09 | $2,187.76 | $3,467.37 |
CareSource Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $1,949.84 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,949.84 | $2,454.71 | $4,570.88 |
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 $1,949.84 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,949.84 | $2,454.71 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $1,621.81 Typical High $2,290.87 | Professional | None | $151.36 | $1,621.81 | $2,290.87 |
SummaCare Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $3,548.13 | Professional | None | $1,862.09 | $2,041.74 | $3,548.13 |
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 $2,089.30 Median $2,884.03 Typical High $5,888.44 | Professional | None | $2,089.30 | $2,884.03 | $5,888.44 |
6 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 $1,621.81 Typical High $5,370.32 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $5,370.32 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $5,011.87 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,235.94 Typical High $5,128.61 | Professional | 50 · Both sides | $2,754.23 | $3,235.94 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,380.38 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,174.90 | $1,380.38 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $346.74 Typical High $575.44 | Professional | 80 · Assistant surgeon | $295.12 | $346.74 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $302.00 Typical High $489.78 | Professional | AS · PA/NP assist | $257.04 | $302.00 | $489.78 |
Where Ohio sits
The same service costs 7.7 times more in Alabama than in Washington. 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.
Physician feeFacility fee
AL $19,737WA $2,562
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.