How much rates vary
Facilitymedian $8,511 · 10th to 90th $2,692 to $25,704Professionalmedian $1,738 · 10th to 90th $1,148 to $2,754
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 $1,318.26 Median $1,318.26 Typical High $9,772.37 | Facility | None | $1,318.26 | $1,318.26 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,318.26 | $2,454.71 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $18,197.01 Typical High $28,183.83 | Facility | None | $8,912.51 | $18,197.01 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,905.46 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $288.40 Typical High $389.05 | Professional | 80 · Assistant surgeon | $199.53 | $288.40 | $389.05 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $251.19 Typical High $338.84 | Professional | AS · PA/NP assist | $177.83 | $251.19 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $16,595.87 | Facility | None | $489.78 | $630.96 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,995.26 | $3,090.30 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $8,511.38 | Facility | None | $2,691.53 | $3,890.45 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,659.59 | $3,019.95 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $8,511.38 | Facility | None | $2,691.53 | $4,786.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,548.82 | $3,019.95 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Where New Hampshire 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.