How much rates vary
Facilitymedian $6,166 · 10th to 90th $891 to $14,125Professionalmedian $1,047 · 10th to 90th $135 to $1,549
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 $7,762.47 Typical High $12,589.25 | Facility | None | $2,454.71 | $7,762.47 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $7,585.78 | Professional | None | $1,122.02 | $1,122.02 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $3,890.45 Typical High $19,054.61 | Facility | None | $1,071.52 | $3,890.45 | $19,054.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,479.11 | Professional | None | $891.25 | $1,047.13 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $660.69 Typical High $954.99 | Professional | 62 · Two surgeons | $562.34 | $660.69 | $954.99 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $169.82 Typical High $245.47 | Professional | 80 · Assistant surgeon | $144.54 | $169.82 | $245.47 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $147.91 Typical High $208.93 | Professional | AS · PA/NP assist | $125.89 | $147.91 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
CareSource Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,348.96 | Professional | None | $1,174.90 | $1,174.90 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $6,918.31 Typical High $19,054.61 | Facility | None | $549.54 | $6,918.31 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,202.26 | $1,862.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $6,918.31 Typical High $19,054.61 | Facility | None | $549.54 | $6,918.31 | $19,054.61 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,202.26 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $933.25 Typical High $1,479.11 | Professional | None | $97.72 | $933.25 | $1,479.11 |
SummaCare Setting Facility Modifier None Typical Low $6,760.83 Median $7,079.46 Typical High $7,943.28 | Facility | None | $6,760.83 | $7,079.46 | $7,943.28 |
SummaCare Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
United Setting Facility Modifier None Typical Low $912.01 Median $3,388.44 Typical High $14,125.38 | Facility | None | $912.01 | $3,388.44 | $14,125.38 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,819.70 | Professional | None | $933.25 | $1,174.90 | $1,819.70 |
1 more rate 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 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $1,023.29 |
Where Ohio sits
The same service costs 6.5 times more in Alaska than in West Virginia. 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
AK $17,292WV $2,643
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.