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 $331.13 Median $512.86 Typical High $8,511.38 | Facility | None | $331.13 | $512.86 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $512.86 | Professional | None | $398.11 | $407.38 | $512.86 |
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 $338.84 Median $398.11 Typical High $478.63 | Professional | None | $338.84 | $398.11 | $478.63 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $213.80 Median $251.19 Typical High $302.00 | Professional | 62 · Two surgeons | $213.80 | $251.19 | $302.00 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $53.70 Median $63.10 Typical High $77.62 | Professional | 80 · Assistant surgeon | $53.70 | $63.10 | $77.62 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $56.23 Typical High $67.61 | Professional | AS · PA/NP assist | $47.86 | $56.23 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $616.60 | Facility | None | $323.59 | $389.05 | $616.60 |
CareSource Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $616.60 | Professional | None | $338.84 | $478.63 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $691.83 Typical High $691.83 | Facility | None | $34.67 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $1,995.26 | Professional | None | $389.05 | $457.09 | $1,995.26 |
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 $380.19 Median $524.81 Typical High $645.65 | Professional | None | $380.19 | $524.81 | $645.65 |
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 $302.00 Median $309.03 Typical High $380.19 | Professional | 54 · Surgery only | $302.00 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $288.40 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $281.84 | $288.40 | $354.81 |
Where Kentucky sits
The same service costs 4.4 times more in Alaska 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· 44th of 51
$407
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.