How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,175 to $16,218Professionalmedian $1,096 · 10th to 90th $617 to $1,698
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 $4,570.88 Median $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $977.24 | Professional | None | $645.65 | $977.24 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $15,848.93 Typical High $18,620.87 | Facility | None | $1,122.02 | $15,848.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $1,318.26 Typical High $1,737.80 | Professional | None | $602.56 | $1,318.26 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $371.54 Median $812.83 Typical High $1,096.48 | Professional | 62 · Two surgeons | $371.54 | $812.83 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $208.93 Typical High $281.84 | Professional | 80 · Assistant surgeon | $93.33 | $208.93 | $281.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $181.97 Typical High $245.47 | Professional | AS · PA/NP assist | $83.18 | $181.97 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $7,762.47 | Facility | None | $1,000.00 | $6,165.95 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,412.54 | Professional | None | $794.33 | $891.25 | $1,412.54 |
ConnectiCare Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,071.52 | Professional | None | $794.33 | $977.24 | $1,071.52 |
Health New England Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $1,230.27 | Professional | None | $147.91 | $147.91 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $2,290.87 | Professional | None | $588.84 | $1,023.29 | $2,290.87 |
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 $446.68 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $446.68 | $676.08 | $676.08 |
Where Connecticut sits
The same service costs 5.3 times more in Colorado than in Montana. 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
CO $11,104MT $2,095
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.