How much rates vary
Facilitymedian $6,457 · 10th to 90th $631 to $151,356Professionalmedian $1,413 · 10th to 90th $1,072 to $5,888
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 $2,398.83 Median $9,120.11 Typical High $21,379.62 | Facility | None | $2,398.83 | $9,120.11 | $21,379.62 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $3,890.45 | Professional | None | $1,230.27 | $1,318.26 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $10,471.29 Typical High $21,379.62 | Facility | None | $6,165.95 | $10,471.29 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $4,786.30 | Professional | None | $1,380.38 | $1,548.82 | $4,786.30 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $3,090.30 | Professional | None | $870.96 | $1,230.27 | $3,090.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,348.96 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $3,388.44 | Professional | None | $1,148.15 | $1,348.96 | $3,388.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,445.44 | Professional | None | $933.25 | $1,202.26 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,348.96 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Professional | None | $10,471.29 | $10,471.29 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $151,356.12 Typical High $251,188.64 | Facility | None | $851.14 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $3,388.44 | Professional | None | $1,148.15 | $1,288.25 | $3,388.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $3,548.13 | Professional | None | $954.99 | $1,348.96 | $3,548.13 |
4 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 78 · Unplanned return to OR Typical Low $851.14 Median $912.01 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $851.14 | $912.01 | $954.99 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $794.33 Typical High $1,778.28 | Professional | 62 · Two surgeons | $630.96 | $794.33 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $199.53 Typical High $457.09 | Professional | 80 · Assistant surgeon | $158.49 | $199.53 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $177.83 Typical High $398.11 | Professional | AS · PA/NP assist | $138.04 | $177.83 | $398.11 |
Where California sits
The same service costs 13.1 times more in Maine than in Maryland. 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.
Physician feeFacility fee
ME $24,607MD $1,881
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.