How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,288 to $14,454Professionalmedian $1,023 · 10th to 90th $813 to $2,188
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 $2,511.89 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,511.89 | $6,606.93 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $3,715.35 | Professional | None | $645.65 | $812.83 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $6,456.54 Typical High $15,488.17 | Facility | None | $1,445.44 | $6,456.54 | $15,488.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,621.81 | Professional | None | $870.96 | $1,023.29 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $549.54 Median $645.65 Typical High $1,023.29 | Professional | 62 · Two surgeons | $549.54 | $645.65 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $162.18 Typical High $257.04 | Professional | 80 · Assistant surgeon | $138.04 | $162.18 | $257.04 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $141.25 Typical High $229.09 | Professional | AS · PA/NP assist | $120.23 | $141.25 | $229.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,174.90 | Professional | None | $741.31 | $812.83 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $6,760.83 Typical High $12,022.64 | Facility | None | $1,862.09 | $6,760.83 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $2,089.30 | Professional | None | $794.33 | $1,000.00 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $6,025.60 Typical High $27,542.29 | Facility | None | $1,174.90 | $6,025.60 | $27,542.29 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $8,317.64 | Professional | None | $912.01 | $1,584.89 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $5,888.44 Typical High $14,125.38 | Facility | None | $1,023.29 | $5,888.44 | $14,125.38 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $2,137.96 | Professional | None | $870.96 | $1,174.90 | $2,137.96 |
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 $478.63 Median $588.84 Typical High $616.60 | Professional | 54 · Surgery only | $478.63 | $588.84 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $549.54 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $446.68 | $549.54 | $575.44 |
Where Missouri 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.