How much rates vary
Facilitymedian $2,818 · 10th to 90th $631 to $10,471Professionalmedian $1,288 · 10th to 90th $1,023 to $8,128
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 $1,778.28 Median $5,623.41 Typical High $12,589.25 | Facility | None | $1,778.28 | $5,623.41 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,148.15 | $1,621.81 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $3,162.28 | Professional | None | $501.19 | $501.19 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $11,481.54 | Facility | None | $1,412.54 | $3,801.89 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,230.27 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $776.25 Typical High $1,122.02 | Professional | 62 · Two surgeons | $645.65 | $776.25 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $194.98 Typical High $281.84 | Professional | 80 · Assistant surgeon | $165.96 | $194.98 | $281.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $169.82 Typical High $245.47 | Professional | AS · PA/NP assist | $144.54 | $169.82 | $245.47 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,148.15 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,174.90 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,398.83 Typical High $8,128.31 | Facility | None | $562.34 | $2,398.83 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,128.31 | Professional | None | $1,288.25 | $4,168.69 | $8,128.31 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,513.56 | $2,630.27 |
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 $707.95 Median $741.31 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $707.95 | $741.31 | $851.14 |
Where Missouri 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.