How much rates vary
Facilitymedian $2,818 · 10th to 90th $631 to $9,772Professionalmedian $1,820 · 10th to 90th $1,413 to $12,589
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 $1,380.38 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,513.56 | $1,698.24 |
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 $1,445.44 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,445.44 | $1,737.80 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $912.01 Median $1,096.48 Typical High $1,698.24 | Professional | 62 · Two surgeons | $912.01 | $1,096.48 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $275.42 Typical High $426.58 | Professional | 80 · Assistant surgeon | $234.42 | $275.42 | $426.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $239.88 Typical High $371.54 | Professional | AS · PA/NP assist | $204.17 | $239.88 | $371.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,584.89 | $2,187.76 |
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 $1,445.44 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,445.44 | $1,659.59 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,398.83 Typical High $9,772.37 | Facility | None | $562.34 | $2,398.83 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $5,754.40 Typical High $12,589.25 | Professional | None | $1,778.28 | $5,754.40 | $12,589.25 |
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 $1,412.54 Median $2,089.30 Typical High $3,630.78 | Professional | None | $1,412.54 | $2,089.30 | $3,630.78 |
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 $977.24 Median $1,023.29 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $977.24 | $1,023.29 | $1,174.90 |
Where Missouri 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.