How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | None | $323.59 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $691.83 | Professional | None | $331.13 | $446.68 | $691.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $208.93 Median $269.15 Typical High $407.38 | Professional | 62 · Two surgeons | $208.93 | $269.15 | $407.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $69.18 Typical High $104.71 | Professional | 80 · Assistant surgeon | $52.48 | $69.18 | $104.71 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $58.88 Typical High $91.20 | Professional | AS · PA/NP assist | $45.71 | $58.88 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,412.54 Typical High $2,041.74 | Facility | None | $537.03 | $1,412.54 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $741.31 | Professional | None | $371.54 | $478.63 | $741.31 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,584.89 | Facility | None | $933.25 | $1,258.93 | $1,584.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $660.69 | Professional | None | $331.13 | $446.68 | $660.69 |
Martin's Point Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | None | $323.59 | $398.11 | $398.11 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,584.89 | Facility | None | $933.25 | $1,258.93 | $1,584.89 |
United Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $660.69 | Professional | None | $316.23 | $446.68 | $660.69 |
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 78 · Unplanned return to OR Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $229.09 | $275.42 | $275.42 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $229.09 | $275.42 | $275.42 |
Where Maine sits
The same service costs 5.2 times more in Alaska than in Utah. 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.
Maine· 23rd of 51
$437
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.