How much rates vary
Facilitymedian $1,778 · 10th to 90th $457 to $11,220Professionalmedian $1,072 · 10th to 90th $891 to $1,549
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 $794.33 Median $1,047.13 Typical High $2,630.27 | Facility | None | $794.33 | $1,047.13 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,318.26 | Professional | None | $1,047.13 | $1,071.52 | $1,318.26 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,380.38 | Professional | None | $562.34 | $562.34 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $10,000.00 Typical High $16,218.10 | Facility | None | $5,888.44 | $10,000.00 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,412.54 | Professional | None | $891.25 | $1,071.52 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $676.08 Typical High $891.25 | Professional | 62 · Two surgeons | $562.34 | $676.08 | $891.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $169.82 Typical High $223.87 | Professional | 80 · Assistant surgeon | $141.25 | $169.82 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $151.36 Typical High $199.53 | Professional | AS · PA/NP assist | $123.03 | $151.36 | $199.53 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,584.89 | Facility | None | $851.14 | $1,023.29 | $1,584.89 |
CareSource Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,659.59 | Professional | None | $891.25 | $1,258.93 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $512.86 Typical High $1,778.28 | Facility | None | $34.67 | $512.86 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $5,495.41 | Professional | None | $1,023.29 | $1,202.26 | $5,495.41 |
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 $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,348.96 | $1,698.24 |
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 $741.31 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $758.58 | $933.25 |
Where Kentucky 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.