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 $302.00 Median $478.63 Typical High $3,235.94 | Facility | None | $302.00 | $478.63 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $478.63 | Professional | None | $363.08 | $389.05 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $478.63 | Professional | None | $331.13 | $354.81 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $9,332.54 | Facility | None | $2,344.23 | $4,073.80 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $446.68 | Professional | None | $316.23 | $371.54 | $446.68 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $199.53 Median $234.42 Typical High $281.84 | Professional | 62 · Two surgeons | $199.53 | $234.42 | $281.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | 80 · Assistant surgeon | $50.12 | $58.88 | $72.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $51.29 Typical High $63.10 | Professional | AS · PA/NP assist | $43.65 | $51.29 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $575.44 | Facility | None | $302.00 | $363.08 | $575.44 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $588.84 | Professional | None | $323.59 | $426.58 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $645.65 Typical High $645.65 | Facility | None | $34.67 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $1,862.09 | Professional | None | $371.54 | $426.58 | $1,862.09 |
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 $851.14 Median $6,025.60 Typical High $10,471.29 | Facility | None | $851.14 | $6,025.60 | $10,471.29 |
United Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $616.60 | Professional | None | $354.81 | $478.63 | $616.60 |
2 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 $281.84 Median $288.40 Typical High $354.81 | Professional | 54 · Surgery only | $281.84 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $269.15 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $263.03 | $269.15 | $331.13 |
Where Kentucky sits
The same service costs 4.2 times more in Wyoming than in Utah. 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· 45th of 51
$380
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.