How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $602.56 | Professional | None | $457.09 | $457.09 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $870.96 | Professional | None | $436.52 | $602.56 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $95.50 Typical High $141.25 | Professional | 80 · Assistant surgeon | $69.18 | $95.50 | $141.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $85.11 Typical High $123.03 | Professional | AS · PA/NP assist | $60.26 | $85.11 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,090.30 Typical High $5,754.40 | Facility | None | $707.95 | $3,090.30 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $1,047.13 | Professional | None | $588.84 | $630.96 | $1,047.13 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,513.56 | $2,238.72 | $3,890.45 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $831.76 | Professional | None | $478.63 | $630.96 | $831.76 |
Martin's Point Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | None | $457.09 | $457.09 | $537.03 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,513.56 | $2,238.72 | $3,890.45 |
United Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $912.01 | Professional | None | $467.74 | $676.08 | $912.01 |
2 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 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | 54 · Surgery only | $338.84 | $338.84 | $398.11 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $338.84 | $338.84 | $338.84 |
Where Maine sits
The same service costs 4.3 times more in Alaska than in New York. 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.
Maine· 29th of 51
$631
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.