How much rates vary
Facilitymedian $2,818 · 10th to 90th $631 to $9,772Professionalmedian $2,344 · 10th to 90th $1,862 to $15,488
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 $1,949.84 Median $5,623.41 Typical High $12,589.25 | Facility | None | $1,949.84 | $5,623.41 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,778.28 | $2,041.74 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,715.35 Typical High $8,912.51 | Facility | None | $1,412.54 | $3,715.35 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,862.09 | $2,238.72 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,412.54 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,174.90 | $1,412.54 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $354.81 Typical High $549.54 | Professional | 80 · Assistant surgeon | $302.00 | $354.81 | $549.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $309.03 Typical High $489.78 | Professional | AS · PA/NP assist | $263.03 | $309.03 | $489.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,819.70 | $1,995.26 | $2,884.03 |
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 $1,862.09 Median $2,137.96 Typical High $3,890.45 | Professional | None | $1,862.09 | $2,137.96 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,511.89 Typical High $10,964.78 | Facility | None | $562.34 | $2,511.89 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $7,585.78 Typical High $15,488.17 | Professional | None | $2,290.87 | $7,585.78 | $15,488.17 |
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 $1,862.09 Median $2,691.53 Typical High $4,677.35 | Professional | None | $1,862.09 | $2,691.53 | $4,677.35 |
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 $1,258.93 Median $1,318.26 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,318.26 | $1,513.56 |
Where Missouri sits
The same service costs 5.7 times more in Maine than in Washington. 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 $14,873WA $2,596
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.