How much rates vary
Facilitymedian $5,623 · 10th to 90th $776 to $17,783Professionalmedian $1,820 · 10th to 90th $1,047 to $2,884
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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,659.59 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $16,218.10 Typical High $22,908.68 | Facility | None | $2,884.03 | $16,218.10 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,096.48 | $2,137.96 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $1,348.96 Typical High $1,778.28 | Professional | 62 · Two surgeons | $660.69 | $1,348.96 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $338.84 Typical High $457.09 | Professional | 80 · Assistant surgeon | $169.82 | $338.84 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $295.12 Typical High $398.11 | Professional | AS · PA/NP assist | $147.91 | $295.12 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,479.11 | $2,344.23 |
ConnectiCare Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,659.59 | $1,778.28 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $3,801.89 | Professional | None | $977.24 | $1,737.80 | $3,801.89 |
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 $758.58 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $758.58 | $1,148.15 | $1,148.15 |
Where Connecticut sits
The same service costs 15.9 times more in Maine 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
ME $27,116MD $1,710
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.