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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $371.54 | Professional | None | $309.03 | $331.13 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $537.03 | Professional | None | $295.12 | $363.08 | $537.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $190.55 Median $229.09 Typical High $331.13 | Professional | 62 · Two surgeons | $190.55 | $229.09 | $331.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $57.54 Typical High $83.18 | Professional | 80 · Assistant surgeon | $47.86 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $50.12 Typical High $72.44 | Professional | AS · PA/NP assist | $41.69 | $50.12 | $72.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $512.86 | Professional | None | $331.13 | $371.54 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $1,659.59 | Facility | None | $489.78 | $1,412.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $645.65 | Professional | None | $316.23 | $354.81 | $645.65 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,513.56 Typical High $5,495.41 | Facility | None | $446.68 | $1,513.56 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $891.25 Typical High $2,454.71 | Professional | None | $380.19 | $891.25 | $2,454.71 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $794.33 | Professional | None | $309.03 | $446.68 | $794.33 |
1 more rate 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 $213.80 Median $223.87 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $213.80 | $223.87 | $263.03 |
Where Missouri 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.
Missouri· 31st of 51
$380
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.