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 $1,380.38 Median $3,235.94 Typical High $12,589.25 | Facility | None | $1,380.38 | $3,235.94 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $2,630.27 | Professional | None | $467.74 | $467.74 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $7,079.46 | Facility | None | $707.95 | $2,137.96 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $724.44 | Professional | None | $363.08 | $457.09 | $724.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | 80 · Assistant surgeon | $64.57 | $74.13 | $120.23 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $64.57 Typical High $102.33 | Professional | AS · PA/NP assist | $51.29 | $64.57 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,818.38 | Facility | None | $575.44 | $2,137.96 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,454.71 Typical High $6,025.60 | Facility | None | $602.56 | $2,454.71 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $933.25 | Professional | None | $416.87 | $489.78 | $933.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $2,454.71 Typical High $6,025.60 | Facility | None | $602.56 | $2,454.71 | $6,025.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $933.25 | Professional | None | $398.11 | $489.78 | $933.25 |
Molina Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $676.08 | Professional | None | $389.05 | $501.19 | $676.08 |
SummaCare Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,174.90 | $1,230.27 | $1,412.54 |
SummaCare Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $616.60 | Professional | None | $398.11 | $398.11 | $616.60 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $7,413.10 | Facility | None | $707.95 | $1,905.46 | $7,413.10 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $1,047.13 | Professional | None | $389.05 | $501.19 | $1,047.13 |
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 $354.81 Median $354.81 Typical High $812.83 | Professional | 54 · Surgery only | $354.81 | $354.81 | $812.83 |
Where Ohio 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.
Ohio· 45th of 51
$513
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.