How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,318 to $11,220Professionalmedian $1,202 · 10th to 90th $759 to $2,239
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 $1,202.26 Median $7,079.46 Typical High $15,488.17 | Facility | None | $1,202.26 | $7,079.46 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $2,290.87 | Professional | None | $676.08 | $912.01 | $2,290.87 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,096.48 | Professional | None | $724.44 | $758.58 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $11,748.98 | Facility | None | $1,258.93 | $2,238.72 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,202.26 Typical High $2,238.72 | Professional | None | $758.58 | $1,202.26 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $831.76 Typical High $1,412.54 | Professional | 62 · Two surgeons | $537.03 | $831.76 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $218.78 Typical High $354.81 | Professional | 80 · Assistant surgeon | $134.90 | $218.78 | $354.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $181.97 Typical High $316.23 | Professional | AS · PA/NP assist | $120.23 | $181.97 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $6,025.60 Typical High $7,762.47 | Facility | None | $1,513.56 | $6,025.60 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,380.38 Typical High $2,290.87 | Professional | None | $851.14 | $1,380.38 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $2,884.03 | Professional | None | $758.58 | $954.99 | $2,884.03 |
Oscar Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $9,549.93 | Facility | None | $1,513.56 | $3,715.35 | $9,549.93 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,949.84 | Professional | None | $870.96 | $1,318.26 | $1,949.84 |
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 $512.86 Median $512.86 Typical High $691.83 | Professional | 54 · Surgery only | $512.86 | $512.86 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $645.65 |
Where Georgia 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.