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 $97.72 Median $147.91 Typical High $3,801.89 | Facility | None | $97.72 | $147.91 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $147.91 | Professional | None | $112.20 | $117.49 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $9,549.93 Typical High $11,220.18 | Facility | None | $758.58 | $9,549.93 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $141.25 | Professional | None | $100.00 | $120.23 | $141.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $63.10 Median $75.86 Typical High $89.13 | Professional | 62 · Two surgeons | $63.10 | $75.86 | $89.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $19.05 Typical High $21.88 | Professional | 80 · Assistant surgeon | $15.85 | $19.05 | $21.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $16.60 Typical High $20.42 | Professional | AS · PA/NP assist | $13.18 | $16.60 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $104.71 Median $707.95 Typical High $1,258.93 | Facility | None | $104.71 | $707.95 | $1,258.93 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $177.83 | Professional | None | $109.65 | $138.04 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $190.55 Typical High $489.78 | Facility | None | $34.67 | $190.55 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $588.84 | Professional | None | $112.20 | $138.04 | $588.84 |
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 $457.09 Median $794.33 Typical High $2,454.71 | Facility | None | $457.09 | $794.33 | $2,454.71 |
United Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $190.55 | Professional | None | $109.65 | $151.36 | $190.55 |
1 more rate 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 $83.18 Median $87.10 Typical High $109.65 | Professional | 54 · Surgery only | $83.18 | $87.10 | $109.65 |
Where Kentucky sits
The same service costs 4.9 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· 42nd of 51
$123
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.