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 $794.33 Median $4,897.79 Typical High $7,762.47 | Facility | None | $794.33 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $794.33 | Professional | None | $660.69 | $676.08 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $10,471.29 | Facility | None | $1,412.54 | $3,801.89 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $741.31 | Professional | None | $363.08 | $436.52 | $741.31 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $229.09 Median $275.42 Typical High $467.74 | Professional | 62 · Two surgeons | $229.09 | $275.42 | $467.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $70.79 Typical High $117.49 | Professional | 80 · Assistant surgeon | $58.88 | $70.79 | $117.49 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $61.66 Typical High $102.33 | Professional | AS · PA/NP assist | $50.12 | $61.66 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $1,122.02 | Professional | None | $660.69 | $691.83 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,230.27 Typical High $7,943.28 | Facility | None | $54.95 | $1,230.27 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,698.24 Typical High $5,248.07 | Professional | None | $537.03 | $1,698.24 | $5,248.07 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $1,380.38 | Professional | None | $478.63 | $588.84 | $1,380.38 |
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 $489.78 Median $489.78 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $467.74 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $467.74 | $562.34 |
Where Missouri 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.
Missouri· 47th of 51
$617
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.