How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,072 to $12,589Professionalmedian $2,042 · 10th to 90th $1,514 to $3,020
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 $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,513.56 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $13,182.57 | Facility | None | $4,786.30 | $7,079.46 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,659.59 | $2,290.87 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,344.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,584.89 | $1,905.46 | $2,630.27 |
Denver HMP Setting Facility Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $3,467.37 | Facility | None | $1,513.56 | $1,949.84 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,513.56 | $1,949.84 | $3,090.30 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $2,754.23 Typical High $2,951.21 | Facility | None | $1,380.38 | $2,754.23 | $2,951.21 |
Select Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,479.11 | $2,238.72 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,513.56 | $1,905.46 | $3,019.95 |
4 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 $1,023.29 Median $1,047.13 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,047.13 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $776.25 Median $933.25 Typical High $1,584.89 | Professional | 62 · Two surgeons | $776.25 | $933.25 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $239.88 Typical High $398.11 | Professional | 80 · Assistant surgeon | $199.53 | $239.88 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $208.93 Typical High $338.84 | Professional | AS · PA/NP assist | $173.78 | $208.93 | $338.84 |
Where Colorado sits
The same service costs 6.7 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 $14,298MD $2,147
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.