How much rates vary
Facilitymedian $4,677 · 10th to 90th $832 to $12,303Professionalmedian $955 · 10th to 90th $676 to $1,479
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 $741.31 Median $831.76 Typical High $3,630.78 | Facility | None | $741.31 | $831.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $1,202.26 | Professional | None | $724.44 | $794.33 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $5,495.41 Typical High $14,454.40 | Facility | None | $1,995.26 | $5,495.41 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,174.90 | Professional | None | $676.08 | $933.25 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $588.84 Typical High $724.44 | Professional | 62 · Two surgeons | $426.58 | $588.84 | $724.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $151.36 Typical High $181.97 | Professional | 80 · Assistant surgeon | $109.65 | $151.36 | $181.97 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $131.83 Typical High $177.83 | Professional | AS · PA/NP assist | $93.33 | $131.83 | $177.83 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $8,317.64 | Facility | None | $741.31 | $1,230.27 | $8,317.64 |
CareSource Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,258.93 | Professional | None | $831.76 | $1,071.52 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $4,073.80 Typical High $6,165.95 | Facility | None | $34.67 | $4,073.80 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $4,677.35 | Professional | None | $794.33 | $1,148.15 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $7,943.28 | Facility | None | $977.24 | $1,862.09 | $7,943.28 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,584.89 | Professional | None | $812.83 | $1,230.27 | $1,584.89 |
3 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 $549.54 Median $575.44 Typical High $630.96 | Professional | 54 · Surgery only | $549.54 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $537.03 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $512.86 | $537.03 | $588.84 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 51 · Multiple procedures | $371.54 | $371.54 | $371.54 |
Where Kentucky 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.