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 $2,041.74 Median $4,897.79 Typical High $7,762.47 | Facility | None | $2,041.74 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,511.89 | Professional | None | $2,041.74 | $2,238.72 | $2,511.89 |
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 $3,630.78 | Professional | None | $2,041.74 | $2,398.83 | $3,630.78 |
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 $380.19 Typical High $575.44 | Professional | 80 · Assistant surgeon | $323.59 | $380.19 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $331.13 Typical High $501.19 | Professional | AS · PA/NP assist | $281.84 | $331.13 | $501.19 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $3,235.94 | Professional | None | $2,089.30 | $2,344.23 | $3,235.94 |
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 $2,137.96 Median $2,454.71 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,454.71 | $4,466.84 |
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 $2,630.27 Median $5,495.41 Typical High $18,620.87 | Professional | None | $2,630.27 | $5,495.41 | $18,620.87 |
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 $2,137.96 Median $3,019.95 Typical High $5,370.32 | Professional | None | $2,137.96 | $3,019.95 | $5,370.32 |
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 $1,548.82 Median $1,621.81 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,548.82 | $1,621.81 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,548.82 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,548.82 | $1,737.80 |
Where Missouri 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.
Missouri· 29th of 51
$2,570
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.