How much rates vary
Facilitymedian $3,548 · 10th to 90th $661 to $10,965Professionalmedian $1,413 · 10th to 90th $912 to $2,291
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 Professional Modifier None Typical Low $831.76 Median $1,380.38 Typical High $1,659.59 | Professional | None | $831.76 | $1,380.38 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $12,589.25 | Facility | None | $3,548.13 | $4,168.69 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,412.54 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $891.25 Typical High $1,513.56 | Professional | 62 · Two surgeons | $616.60 | $891.25 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $229.09 Typical High $380.19 | Professional | 80 · Assistant surgeon | $154.88 | $229.09 | $380.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $199.53 Typical High $331.13 | Professional | AS · PA/NP assist | $134.90 | $199.53 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,819.70 | $1,995.26 |
ConnectiCare Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $3,715.35 | Professional | None | $1,513.56 | $1,862.09 | $3,715.35 |
Health New England Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | None | $199.53 | $199.53 | $309.03 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,412.54 Typical High $2,137.96 | Professional | None | $912.01 | $1,412.54 | $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 52 · Reduced service Typical Low $467.74 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $467.74 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $186.21 | $275.42 | $275.42 |
Where Connecticut sits
The same service costs 10.3 times more in Maine than in Arkansas. 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
ME $15,629AR $1,524
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.