How much rates vary
Facilitymedian $2,692 · 10th to 90th $525 to $9,772Professionalmedian $2,512 · 10th to 90th $2,042 to $17,783
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 $1,995.26 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,995.26 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,995.26 | $2,187.76 | $2,454.71 |
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 $2,041.74 Median $2,398.83 Typical High $3,548.13 | Professional | None | $2,041.74 | $2,398.83 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,513.56 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,288.25 | $1,513.56 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $389.05 Typical High $562.34 | Professional | 80 · Assistant surgeon | $323.59 | $389.05 | $562.34 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $338.84 Typical High $489.78 | Professional | AS · PA/NP assist | $288.40 | $338.84 | $489.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,290.87 | $3,311.31 |
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 $2,089.30 Median $2,398.83 Typical High $4,365.16 | Professional | None | $2,089.30 | $2,398.83 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,348.96 Typical High $10,964.78 | Facility | None | $54.95 | $1,348.96 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $5,370.32 Typical High $17,782.79 | Professional | None | $2,570.40 | $5,370.32 | $17,782.79 |
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 $2,089.30 Median $2,951.21 Typical High $5,248.07 | Professional | None | $2,089.30 | $2,951.21 | $5,248.07 |
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 $1,513.56 Median $1,584.89 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,513.56 | $1,584.89 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,479.11 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,479.11 | $1,698.24 |
Where Missouri sits
The same service costs 6.6 times more in Alaska than in Maryland. 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.
Physician feeFacility fee
AK $18,726MD $2,853
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.