How much rates vary
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 $794.33 Median $1,071.52 Typical High $2,630.27 | Facility | None | $794.33 | $1,071.52 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,096.48 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $10,715.19 | Facility | None | $2,754.23 | $4,677.35 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,348.96 | Professional | None | $831.76 | $1,023.29 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $524.81 Median $645.65 Typical High $851.14 | Professional | 62 · Two surgeons | $524.81 | $645.65 | $851.14 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $162.18 Typical High $218.78 | Professional | 80 · Assistant surgeon | $134.90 | $162.18 | $218.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $144.54 Typical High $190.55 | Professional | AS · PA/NP assist | $117.49 | $144.54 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,659.59 | Facility | None | $870.96 | $1,047.13 | $1,659.59 |
CareSource Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,230.27 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $512.86 Typical High $1,862.09 | Facility | None | $34.67 | $512.86 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $5,370.32 | Professional | None | $1,047.13 | $1,174.90 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,288.25 | $1,659.59 |
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 $758.58 Median $776.25 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $758.58 | $776.25 | $954.99 |
Where Kentucky sits
The same service costs 5.8 times more in Alaska than in Texas. 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.
Kentucky· 42nd of 51
$1,072
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.