How much rates vary
Facilitymedian $1,318 · 10th to 90th $513 to $9,550Professionalmedian $2,344 · 10th to 90th $1,549 to $4,169
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 $1,737.80 Median $6,165.95 Typical High $15,488.17 | Facility | None | $1,737.80 | $6,165.95 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $4,570.88 | Professional | None | $1,659.59 | $1,819.70 | $4,570.88 |
Ambetter Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | AS · PA/NP assist | $407.38 | $407.38 | $407.38 |
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 $1,348.96 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,344.23 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,659.59 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,122.02 | $1,659.59 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $446.68 Typical High $660.69 | Professional | 80 · Assistant surgeon | $281.84 | $446.68 | $660.69 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $354.81 Typical High $575.44 | Professional | AS · PA/NP assist | $251.19 | $354.81 | $575.44 |
CareSource Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $549.54 Typical High $2,511.89 | Facility | None | $446.68 | $549.54 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $4,897.79 | Professional | None | $1,819.70 | $2,818.38 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $4,786.30 | Professional | None | $1,819.70 | $2,041.74 | $4,786.30 |
Oscar Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $2,884.03 | Professional | None | $1,862.09 | $2,630.27 | $2,884.03 |
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 $1,584.89 Median $2,754.23 Typical High $5,370.32 | Professional | None | $1,584.89 | $2,754.23 | $5,370.32 |
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 $1,148.15 Median $1,148.15 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,513.56 |
Ambetter Setting Professional Modifier 22 · Increased work Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | 22 · Increased work | $3,019.95 | $3,019.95 | $3,019.95 |
Where Georgia sits
The same service costs 12.4 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 $28,441MD $2,300
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.