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 $1,122.02 Median $3,235.94 Typical High $12,589.25 | Facility | None | $1,122.02 | $3,235.94 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $478.63 | Professional | None | $117.49 | $117.49 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $2,511.89 Typical High $18,620.87 | Facility | None | $691.83 | $2,511.89 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $162.18 | Professional | None | $97.72 | $114.82 | $162.18 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $61.66 Median $72.44 Typical High $102.33 | Professional | 62 · Two surgeons | $61.66 | $72.44 | $102.33 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $18.62 Typical High $26.92 | Professional | 80 · Assistant surgeon | $15.85 | $18.62 | $26.92 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $16.22 Typical High $22.39 | Professional | AS · PA/NP assist | $13.80 | $16.22 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $147.91 Median $724.44 Typical High $1,096.48 | Facility | None | $147.91 | $724.44 | $1,096.48 |
CareSource Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | None | $125.89 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $616.60 Typical High $2,691.53 | Facility | None | $467.74 | $616.60 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $208.93 | Professional | None | $114.82 | $128.82 | $208.93 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $467.74 Median $616.60 Typical High $2,691.53 | Facility | None | $467.74 | $616.60 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $208.93 | Professional | None | $114.82 | $128.82 | $208.93 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $158.49 | Professional | None | $83.18 | $107.15 | $158.49 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | None | $109.65 | $109.65 | $128.82 |
United Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $4,677.35 | Facility | None | $501.19 | $954.99 | $4,677.35 |
United Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $194.98 | Professional | None | $100.00 | $128.82 | $194.98 |
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 $87.10 Median $87.10 Typical High $120.23 | Professional | 54 · Surgery only | $87.10 | $87.10 | $120.23 |
Where Ohio 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.
Ohio· 45th of 51
$117
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.