How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,122 to $22,387Professionalmedian $2,089 · 10th to 90th $1,175 to $4,365
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 $4,365.16 Median $6,165.95 Typical High $19,054.61 | Facility | None | $4,365.16 | $6,165.95 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,621.81 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $15,135.61 Typical High $25,703.96 | Facility | None | $2,884.03 | $15,135.61 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $2,951.21 | Professional | None | $1,230.27 | $2,290.87 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $371.54 Typical High $478.63 | Professional | 80 · Assistant surgeon | $194.98 | $371.54 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $323.59 Typical High $416.87 | Professional | AS · PA/NP assist | $169.82 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,445.44 | $1,995.26 | $2,818.38 |
ConnectiCare Setting Facility Modifier None Typical Low $5,248.07 Median $5,888.44 Typical High $6,165.95 | Facility | None | $5,248.07 | $5,888.44 | $6,165.95 |
ConnectiCare Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,659.59 | $2,089.30 |
Health New England Setting Facility Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $26,302.68 | Facility | None | $12,302.69 | $12,302.69 | $26,302.68 |
Health New England Setting Professional Modifier None Typical Low $2,398.83 Median $4,365.16 Typical High $4,677.35 | Professional | None | $2,398.83 | $4,365.16 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $16,218.10 | Facility | None | $1,122.02 | $7,943.28 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $3,890.45 | Professional | None | $1,000.00 | $1,778.28 | $3,890.45 |
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 $851.14 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $851.14 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $794.33 | $1,148.15 | $1,148.15 |
Where Connecticut sits
The same service costs 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.