How much rates vary
Facilitymedian $3,388 · 10th to 90th $490 to $12,589Professionalmedian $2,455 · 10th to 90th $257 to $3,631
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 $2,818.38 Median $10,232.93 Typical High $13,803.84 | Facility | None | $2,818.38 | $10,232.93 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,818.38 | $2,818.38 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $6,606.93 Typical High $13,803.84 | Facility | None | $891.25 | $6,606.93 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $3,548.13 | Professional | None | $1,862.09 | $2,570.40 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,621.81 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,148.15 | $1,621.81 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $407.38 Typical High $575.44 | Professional | 80 · Assistant surgeon | $295.12 | $407.38 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $354.81 Typical High $501.19 | Professional | AS · PA/NP assist | $257.04 | $354.81 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
CareSource Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,951.21 | $2,951.21 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $2,691.53 | Facility | None | $426.58 | $588.84 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $4,786.30 | Professional | None | $2,630.27 | $3,019.95 | $4,786.30 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,691.53 | Facility | None | $426.58 | $602.56 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $4,786.30 | Professional | None | $2,691.53 | $3,019.95 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $1,995.26 Typical High $3,311.31 | Professional | None | $229.09 | $1,995.26 | $3,311.31 |
SummaCare Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,630.27 | $2,630.27 | $3,090.30 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $4,677.35 | Facility | None | $371.54 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,570.88 | Professional | None | $2,290.87 | $3,019.95 | $4,570.88 |
3 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 54 · Surgery only Typical Low $2,089.30 Median $2,089.30 Typical High $2,754.23 | Professional | 54 · Surgery only | $2,089.30 | $2,089.30 | $2,754.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $1,949.84 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,949.84 | $1,949.84 | $2,570.40 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $3,548.13 | $3,548.13 | $3,548.13 |
Where Ohio sits
The same service costs 6.5 times more in Alaska 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
AK $21,355WA $3,262
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.