How much rates vary
Facilitymedian $3,715 · 10th to 90th $794 to $12,303Professionalmedian $603 · 10th to 90th $457 to $891
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 $630.96 Median $794.33 Typical High $8,511.38 | Facility | None | $630.96 | $794.33 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $794.33 | Professional | None | $630.96 | $645.65 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $5,495.41 Typical High $13,489.63 | Facility | None | $1,995.26 | $5,495.41 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $851.14 | Professional | None | $457.09 | $537.03 | $851.14 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $338.84 Typical High $537.03 | Professional | 62 · Two surgeons | $288.40 | $338.84 | $537.03 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $85.11 Typical High $138.04 | Professional | 80 · Assistant surgeon | $72.44 | $85.11 | $138.04 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $74.13 Typical High $120.23 | Professional | AS · PA/NP assist | $63.10 | $74.13 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $616.60 Typical High $954.99 | Facility | None | $512.86 | $616.60 | $954.99 |
CareSource Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,000.00 | Professional | None | $588.84 | $758.58 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,096.48 Typical High $3,630.78 | Facility | None | $34.67 | $1,096.48 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $3,388.44 | Professional | None | $616.60 | $707.95 | $3,388.44 |
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 $977.24 Median $1,862.09 Typical High $7,943.28 | Facility | None | $977.24 | $1,862.09 | $7,943.28 |
United Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,000.00 | Professional | None | $602.56 | $794.33 | $1,000.00 |
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 $457.09 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $457.09 | $562.34 |
Where Kentucky 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.