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 $1,778.28 Median $2,187.76 Typical High $2,754.23 | Facility | None | $1,778.28 | $2,187.76 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,754.23 | Professional | None | $2,137.96 | $2,238.72 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $6,025.60 Typical High $11,220.18 | Facility | None | $3,548.13 | $6,025.60 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,862.09 | $2,187.76 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,380.38 Typical High $1,621.81 | Professional | 62 · Two surgeons | $1,174.90 | $1,380.38 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $354.81 Typical High $416.87 | Professional | 80 · Assistant surgeon | $295.12 | $354.81 | $416.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $309.03 Typical High $363.08 | Professional | AS · PA/NP assist | $257.04 | $309.03 | $363.08 |
CareSource Setting Facility Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $3,311.31 | Facility | None | $1,737.80 | $2,089.30 | $3,311.31 |
CareSource Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $3,388.44 | Professional | None | $1,862.09 | $2,570.40 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $3,715.35 | Facility | None | $34.67 | $691.83 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $10,715.19 | Professional | None | $2,137.96 | $2,454.71 | $10,715.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,754.23 | $3,467.37 |
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 $1,584.89 Median $1,659.59 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,584.89 | $1,659.59 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,548.82 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,548.82 | $1,905.46 |
Where Kentucky sits
The same service costs 21.9 times more in Alaska than in Texas. 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.
Kentucky· 42nd of 51
$2,239
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.