How much rates vary
Facilitymedian $6,310 · 10th to 90th $692 to $16,596Professionalmedian $1,905 · 10th to 90th $1,175 to $2,951
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 $4,570.88 Median $8,511.38 Typical High $16,218.10 | Facility | None | $4,570.88 | $8,511.38 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,380.38 | $2,187.76 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $14,791.08 Typical High $19,952.62 | Facility | None | $5,888.44 | $14,791.08 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,148.15 | $1,862.09 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $1,148.15 Typical High $1,737.80 | Professional | 62 · Two surgeons | $724.44 | $1,148.15 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $295.12 Typical High $436.52 | Professional | 80 · Assistant surgeon | $181.97 | $295.12 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $257.04 Typical High $380.19 | Professional | AS · PA/NP assist | $158.49 | $257.04 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $3,090.30 | Professional | None | $1,621.81 | $1,905.46 | $3,090.30 |
ConnectiCare Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,137.96 | Professional | None | $1,995.26 | $1,995.26 | $2,137.96 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $3,890.45 | Professional | None | $1,148.15 | $1,621.81 | $3,890.45 |
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 78 · Unplanned return to OR Typical Low $954.99 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $954.99 | $1,513.56 | $1,513.56 |
Where Connecticut 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.