How much rates vary
Facilitymedian $10,233 · 10th to 90th $1,413 to $26,915Professionalmedian $1,259 · 10th to 90th $851 to $2,138
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 $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,412.54 | Professional | None | $812.83 | $1,174.90 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,128.31 Median $22,908.68 Typical High $28,840.32 | Facility | None | $8,128.31 | $22,908.68 | $28,840.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $2,089.30 | Professional | None | $794.33 | $1,258.93 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $489.78 Median $794.33 Typical High $1,318.26 | Professional | 62 · Two surgeons | $489.78 | $794.33 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $199.53 Typical High $338.84 | Professional | 80 · Assistant surgeon | $125.89 | $199.53 | $338.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $173.78 Typical High $295.12 | Professional | AS · PA/NP assist | $109.65 | $173.78 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $10,471.29 Typical High $13,182.57 | Facility | None | $1,000.00 | $10,471.29 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,479.11 | $1,862.09 |
ConnectiCare Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,445.44 | $1,737.80 | $1,737.80 |
Health New England Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,848.93 | Facility | None | $1,122.02 | $7,943.28 | $15,848.93 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $2,511.89 | Professional | None | $870.96 | $1,230.27 | $2,511.89 |
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 $630.96 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $630.96 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $588.84 | $831.76 | $831.76 |
Where Connecticut sits
The same service costs 6.1 times more in Colorado than in Montana. 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
CO $15,685MT $2,577
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.