How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,000 to $12,589Professionalmedian $2,239 · 10th to 90th $1,660 to $3,388
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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,621.81 | $1,659.59 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $13,182.57 | Facility | None | $4,786.30 | $7,244.36 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,454.71 | $3,467.37 |
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 $1,659.59 Median $2,089.30 Typical High $2,951.21 | Professional | None | $1,659.59 | $2,089.30 | $2,951.21 |
Denver HMP Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,890.45 | Facility | None | $1,659.59 | $2,089.30 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,698.24 | $2,137.96 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $3,235.94 | Facility | None | $1,548.82 | $3,090.30 | $3,235.94 |
Select Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,621.81 | $2,454.71 |
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 $1,659.59 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,659.59 | $2,089.30 | $3,311.31 |
5 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 $1,230.27 Median $1,258.93 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,230.27 | $1,258.93 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,174.90 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,174.90 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,047.13 Typical High $1,698.24 | Professional | 62 · Two surgeons | $794.33 | $1,047.13 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $269.15 Typical High $436.52 | Professional | 80 · Assistant surgeon | $204.17 | $269.15 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $229.09 Typical High $380.19 | Professional | AS · PA/NP assist | $177.83 | $229.09 | $380.19 |
Where Colorado sits
The same service costs 8.0 times more in Maine 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.
Physician feeFacility fee
ME $18,037TX $2,258
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.