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 $616.60 Median $6,025.60 Typical High $12,589.25 | Facility | None | $616.60 | $6,025.60 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | None | $354.81 | $407.38 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $562.34 | Professional | None | $549.54 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $4,786.30 Typical High $10,471.29 | Facility | None | $2,344.23 | $4,786.30 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $630.96 | Professional | None | $371.54 | $436.52 | $630.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $234.42 Median $275.42 Typical High $398.11 | Professional | 62 · Two surgeons | $234.42 | $275.42 | $398.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $69.18 Typical High $102.33 | Professional | 80 · Assistant surgeon | $58.88 | $69.18 | $102.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $60.26 Typical High $89.13 | Professional | AS · PA/NP assist | $52.48 | $60.26 | $89.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $588.84 | Professional | None | $371.54 | $407.38 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $10,715.19 Typical High $22,908.68 | Facility | None | $8,709.64 | $10,715.19 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $776.25 | Professional | None | $371.54 | $426.58 | $776.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,511.89 Typical High $16,218.10 | Facility | None | $54.95 | $2,511.89 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $954.99 Typical High $3,162.28 | Professional | None | $457.09 | $954.99 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $6,165.95 Typical High $12,882.50 | Facility | None | $2,187.76 | $6,165.95 | $12,882.50 |
United Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $933.25 | Professional | None | $371.54 | $537.03 | $933.25 |
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 $269.15 Median $269.15 Typical High $323.59 | Professional | 54 · Surgery only | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $257.04 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $251.19 | $257.04 | $302.00 |
Where Missouri 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.
Missouri· 33rd of 51
$457
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.