How much rates vary
Facilitymedian $3,981 · 10th to 90th $832 to $10,233Professionalmedian $417 · 10th to 90th $141 to $692
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 $2,454.71 Median $7,244.36 Typical High $12,589.25 | Facility | None | $2,454.71 | $7,244.36 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $2,884.03 | Professional | None | $562.34 | $562.34 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,630.27 Typical High $7,762.47 | Facility | None | $794.33 | $2,630.27 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $354.81 Typical High $537.03 | Professional | None | $134.90 | $354.81 | $537.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $85.11 Median $218.78 Typical High $338.84 | Professional | 62 · Two surgeons | $85.11 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $56.23 Typical High $85.11 | Professional | 80 · Assistant surgeon | $21.38 | $56.23 | $85.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $48.98 Typical High $74.13 | Professional | AS · PA/NP assist | $18.62 | $48.98 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $602.56 | Professional | None | $537.03 | $537.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,370.32 Typical High $7,943.28 | Facility | None | $707.95 | $5,370.32 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $870.96 | Professional | None | $489.78 | $575.44 | $870.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $707.95 Median $5,370.32 Typical High $7,762.47 | Facility | None | $707.95 | $5,370.32 | $7,762.47 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $870.96 | Professional | None | $489.78 | $575.44 | $870.96 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $229.09 | Professional | None | $123.03 | $173.78 | $229.09 |
SummaCare Setting Facility Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $3,162.28 | Facility | None | $2,630.27 | $2,754.23 | $3,162.28 |
SummaCare Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | None | $323.59 | $323.59 | $380.19 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,630.27 Typical High $9,120.11 | Facility | None | $851.14 | $2,630.27 | $9,120.11 |
United Setting Professional Modifier None Typical Low $281.84 Median $457.09 Typical High $1,621.81 | Professional | None | $281.84 | $457.09 | $1,621.81 |
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 $426.58 Median $426.58 Typical High $512.86 | Professional | 54 · Surgery only | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $478.63 |
Where Ohio 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.
Ohio· 49th of 51
$417
AK $2,344HI $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.