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 $416.87 Median $616.60 Typical High $2,630.27 | Facility | None | $416.87 | $616.60 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $630.96 | Professional | None | $489.78 | $562.34 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $3,311.31 Typical High $9,332.54 | Facility | None | $1,071.52 | $3,311.31 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $363.08 Typical High $478.63 | Professional | None | $162.18 | $363.08 | $478.63 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $102.33 Median $229.09 Typical High $302.00 | Professional | 62 · Two surgeons | $102.33 | $229.09 | $302.00 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $57.54 Typical High $75.86 | Professional | 80 · Assistant surgeon | $26.30 | $57.54 | $75.86 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $50.12 Typical High $67.61 | Professional | AS · PA/NP assist | $22.91 | $50.12 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $758.58 | Facility | None | $398.11 | $478.63 | $758.58 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $758.58 | Professional | None | $416.87 | $588.84 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $4,073.80 Typical High $6,165.95 | Facility | None | $34.67 | $4,073.80 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $2,344.23 | Professional | None | $537.03 | $537.03 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $100.00 | Professional | None | $44.67 | $48.98 | $100.00 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,202.26 Typical High $1,995.26 | Professional | None | $371.54 | $1,202.26 | $1,995.26 |
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 $426.58 Typical High $467.74 | Professional | 54 · Surgery only | $371.54 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $398.11 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $346.74 | $398.11 | $436.52 |
Where Kentucky sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 50th of 51
$398
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.