How much rates vary
Facilitymedian $1,288 · 10th to 90th $513 to $9,550Professionalmedian $1,549 · 10th to 90th $1,023 to $2,754
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 $1,348.96 Median $6,165.95 Typical High $15,488.17 | Facility | None | $1,348.96 | $6,165.95 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,202.26 | $3,019.95 |
Ambetter Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,949.84 | $1,949.84 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | AS · PA/NP assist | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $2,630.27 Typical High $12,302.69 | Facility | None | $831.76 | $2,630.27 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,398.83 | Professional | None | $891.25 | $1,513.56 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,071.52 Typical High $1,698.24 | Professional | 62 · Two surgeons | $741.31 | $1,071.52 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $295.12 Typical High $436.52 | Professional | 80 · Assistant surgeon | $186.21 | $295.12 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $234.42 Typical High $380.19 | Professional | AS · PA/NP assist | $162.18 | $234.42 | $380.19 |
CareSource Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $2,511.89 | Facility | None | $457.09 | $549.54 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,202.26 | $1,862.09 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $3,235.94 | Professional | None | $1,202.26 | $1,380.38 | $3,235.94 |
Oscar Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,737.80 | $1,949.84 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $3,467.37 | Professional | None | $1,023.29 | $1,819.70 | $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 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $977.24 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Where Georgia 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.