How much rates vary
Facilitymedian $2,692 · 10th to 90th $550 to $15,849Professionalmedian $1,660 · 10th to 90th $1,047 to $2,818
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 $1,096.48 Median $5,370.32 Typical High $10,964.78 | Facility | None | $1,096.48 | $5,370.32 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,258.93 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $2,754.23 Typical High $19,952.62 | Facility | None | $831.76 | $2,754.23 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,570.40 | Professional | None | $912.01 | $1,584.89 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $316.23 Typical High $478.63 | Professional | 80 · Assistant surgeon | $194.98 | $316.23 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $257.04 Typical High $398.11 | Professional | AS · PA/NP assist | $177.83 | $257.04 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $4,265.80 | Facility | None | $457.09 | $549.54 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,288.25 | $2,089.30 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $6,025.60 | Professional | None | $1,202.26 | $1,348.96 | $6,025.60 |
Oscar Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,513.56 | $3,715.35 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $3,630.78 | Professional | None | $1,148.15 | $1,905.46 | $3,630.78 |
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 $831.76 Median $831.76 Typical High $1,000.00 | Professional | 54 · Surgery only | $831.76 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $933.25 |
Where Georgia 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.