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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $131.83 | Professional | None | $109.65 | $120.23 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,348.96 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $194.98 | Professional | None | $112.20 | $131.83 | $194.98 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $70.79 Median $83.18 Typical High $131.83 | Professional | 62 · Two surgeons | $70.79 | $83.18 | $131.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $19.95 Typical High $31.62 | Professional | 80 · Assistant surgeon | $17.78 | $19.95 | $31.62 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $18.62 Typical High $26.92 | Professional | AS · PA/NP assist | $15.85 | $18.62 | $26.92 |
BCBS Kansas City Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $169.82 | Professional | None | $109.65 | $120.23 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,137.96 Typical High $2,691.53 | Facility | None | $512.86 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $239.88 | Professional | None | $112.20 | $131.83 | $239.88 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $933.25 Typical High $3,090.30 | Facility | None | $54.95 | $933.25 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $1,148.15 | Professional | None | $141.25 | $295.12 | $1,148.15 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $281.84 | Professional | None | $114.82 | $165.96 | $281.84 |
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 $81.28 Median $87.10 Typical High $100.00 | Professional | 54 · Surgery only | $81.28 | $87.10 | $100.00 |
Where Missouri 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.
Missouri· 29th of 51
$141
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.