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 $1,778.28 Median $6,309.57 Typical High $13,182.57 | Facility | None | $1,778.28 | $6,309.57 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $489.78 | Professional | None | $380.19 | $426.58 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
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 $398.11 Median $467.74 Typical High $676.08 | Professional | None | $398.11 | $467.74 | $676.08 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $251.19 Median $295.12 Typical High $426.58 | Professional | 62 · Two surgeons | $251.19 | $295.12 | $426.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $74.13 Typical High $109.65 | Professional | 80 · Assistant surgeon | $63.10 | $74.13 | $109.65 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $66.07 Typical High $95.50 | Professional | AS · PA/NP assist | $56.23 | $66.07 | $95.50 |
BCBS Kansas City Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $630.96 | Professional | None | $389.05 | $436.52 | $630.96 |
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 $389.05 Median $446.68 Typical High $812.83 | Professional | None | $389.05 | $446.68 | $812.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,691.53 Typical High $16,218.10 | Facility | None | $54.95 | $2,691.53 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,000.00 Typical High $3,388.44 | Professional | None | $489.78 | $1,000.00 | $3,388.44 |
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 $389.05 Median $575.44 Typical High $1,000.00 | Professional | None | $389.05 | $575.44 | $1,000.00 |
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 $288.40 Median $288.40 Typical High $346.74 | Professional | 54 · Surgery only | $288.40 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $275.42 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $269.15 | $275.42 | $323.59 |
Where Missouri 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.
Missouri· 33rd of 51
$490
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.