How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,148 to $22,909Professionalmedian $1,318 · 10th to 90th $1,072 to $5,012
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 $1,258.93 Median $5,623.41 Typical High $19,498.45 | Facility | None | $1,258.93 | $5,623.41 | $19,498.45 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,174.90 | $1,513.56 |
Ambetter Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $11,220.18 Typical High $33,113.11 | Facility | None | $1,412.54 | $11,220.18 | $33,113.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,258.93 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $204.17 Typical High $309.03 | Professional | 80 · Assistant surgeon | $181.97 | $204.17 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $177.83 Typical High $269.15 | Professional | AS · PA/NP assist | $158.49 | $177.83 | $269.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,122.02 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $741.31 Typical High $16,595.87 | Facility | None | $489.78 | $741.31 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,230.27 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $6,025.60 Typical High $22,387.21 | Facility | None | $1,174.90 | $6,025.60 | $22,387.21 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $7,943.28 | Professional | None | $1,380.38 | $2,630.27 | $7,943.28 |
United Setting Facility Modifier None Typical Low $977.24 Median $5,011.87 Typical High $14,125.38 | Facility | None | $977.24 | $5,011.87 | $14,125.38 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,047.13 | $1,778.28 | $2,691.53 |
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 $758.58 Median $831.76 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $831.76 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $776.25 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $776.25 | $870.96 |
Where Missouri 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.