How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | None | $489.78 | $588.84 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $933.25 | Professional | None | $478.63 | $691.83 | $933.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $302.00 Median $389.05 Typical High $588.84 | Professional | 62 · Two surgeons | $302.00 | $389.05 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,073.80 Typical High $5,495.41 | Facility | None | $707.95 | $4,073.80 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $1,023.29 | Professional | None | $512.86 | $630.96 | $1,023.29 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,071.52 | $1,778.28 | $3,311.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $870.96 | Professional | None | $478.63 | $602.56 | $870.96 |
Martin's Point Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | None | $489.78 | $588.84 | $588.84 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,071.52 | $1,778.28 | $3,311.31 |
United Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $977.24 | Professional | None | $478.63 | $660.69 | $977.24 |
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 $371.54 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $371.54 | $436.52 | $436.52 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $380.19 | $436.52 | $436.52 |
Where Maine sits
The same service costs 4.6 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.
Maine· 24th of 51
$617
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.