How much rates vary
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 $489.78 Median $676.08 Typical High $851.14 | Facility | None | $489.78 | $676.08 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $691.83 Typical High $851.14 | Professional | None | $676.08 | $691.83 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $6,025.60 Typical High $11,220.18 | Facility | None | $3,548.13 | $6,025.60 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $398.11 | Professional | None | $204.17 | $302.00 | $398.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $128.82 Median $190.55 Typical High $251.19 | Professional | 62 · Two surgeons | $128.82 | $190.55 | $251.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $48.98 Typical High $64.57 | Professional | 80 · Assistant surgeon | $33.11 | $48.98 | $64.57 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $42.66 Typical High $56.23 | Professional | AS · PA/NP assist | $28.84 | $42.66 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $112,201.85 | Facility | None | $616.60 | $1,023.29 | $112,201.85 |
CareSource Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,023.29 | Professional | None | $575.44 | $758.58 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $512.86 Typical High $1,122.02 | Facility | None | $34.67 | $512.86 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $3,162.28 | Professional | None | $660.69 | $660.69 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $100.00 | Professional | None | $44.67 | $48.98 | $100.00 |
United Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,047.13 Typical High $1,737.80 | Professional | None | $575.44 | $1,047.13 | $1,737.80 |
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 $501.19 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $501.19 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $467.74 | $489.78 | $588.84 |
Where Kentucky sits
The same service costs 8.5 times more in Alaska 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.
Kentucky· 51st of 51
$339
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.