How much rates vary
Facilitymedian $7,413 · 10th to 90th $776 to $25,704Professionalmedian $1,738 · 10th to 90th $1,122 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 $2,398.83 Median $2,754.23 Typical High $11,481.54 | Facility | None | $2,398.83 | $2,754.23 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,122.02 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $18,197.01 Typical High $28,183.83 | Facility | None | $8,912.51 | $18,197.01 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,949.84 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $1,122.02 Typical High $1,513.56 | Professional | 62 · Two surgeons | $707.95 | $1,122.02 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $288.40 Typical High $380.19 | Professional | 80 · Assistant surgeon | $177.83 | $288.40 | $380.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $251.19 Typical High $338.84 | Professional | AS · PA/NP assist | $154.88 | $251.19 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $2,691.53 | Facility | None | $489.78 | $630.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,230.27 | $1,995.26 | $2,884.03 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $2,884.03 | Facility | None | $776.25 | $851.14 | $2,884.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,122.02 | $1,548.82 | $3,019.95 |
United Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $2,884.03 | Facility | None | $776.25 | $933.25 | $2,884.03 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,122.02 | $1,513.56 | $3,019.95 |
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 $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $758.58 | $776.25 | $891.25 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | GC · Resident with teaching physician | $3,388.44 | $3,388.44 | $3,388.44 |
Where New Hampshire 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.