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 $831.76 Median $10,232.93 Typical High $13,803.84 | Facility | None | $831.76 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | None | $691.83 | $691.83 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $6,606.93 Typical High $13,803.84 | Facility | None | $891.25 | $6,606.93 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $446.68 | Professional | None | $169.82 | $295.12 | $446.68 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $107.15 Median $186.21 Typical High $281.84 | Professional | 62 · Two surgeons | $107.15 | $186.21 | $281.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $46.77 Typical High $72.44 | Professional | 80 · Assistant surgeon | $26.92 | $46.77 | $72.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $41.69 Typical High $63.10 | Professional | AS · PA/NP assist | $23.44 | $41.69 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $79,432.82 | Facility | None | $660.69 | $851.14 | $79,432.82 |
CareSource Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | None | $724.44 | $724.44 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $2,691.53 | Facility | None | $426.58 | $588.84 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,071.52 | Professional | None | $660.69 | $707.95 | $1,071.52 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,691.53 | Facility | None | $426.58 | $602.56 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,071.52 | Professional | None | $660.69 | $707.95 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $457.09 | Professional | None | $245.47 | $354.81 | $457.09 |
SummaCare Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $4,677.35 | Facility | None | $371.54 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,479.11 | Professional | None | $512.86 | $741.31 | $1,479.11 |
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 $524.81 Median $524.81 Typical High $660.69 | Professional | 54 · Surgery only | $524.81 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $616.60 |
Where Ohio 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.
Ohio· 50th of 51
$398
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.