How much rates vary
Facilitymedian $5,370 · 10th to 90th $646 to $11,482Professionalmedian $977 · 10th to 90th $759 to $1,445
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 $776.25 Median $891.25 Typical High $1,023.29 | Facility | None | $776.25 | $891.25 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,174.90 | Professional | None | $741.31 | $776.25 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $141.25 Typical High $173.78 | Professional | 80 · Assistant surgeon | $107.15 | $141.25 | $173.78 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $138.04 Typical High $141.25 | Professional | AS · PA/NP assist | $85.11 | $138.04 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $7,079.46 Typical High $11,481.54 | Facility | None | $1,380.38 | $7,079.46 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,318.26 | Professional | None | $724.44 | $977.24 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $616.60 Typical High $851.14 | Professional | 62 · Two surgeons | $457.09 | $616.60 | $851.14 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $158.49 Typical High $234.42 | Professional | 80 · Assistant surgeon | $117.49 | $158.49 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $138.04 Typical High $190.55 | Professional | AS · PA/NP assist | $102.33 | $138.04 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
CareSource Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,174.90 | Professional | None | $776.25 | $933.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $2,691.53 | Facility | None | $512.86 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,778.28 | Professional | None | $891.25 | $1,071.52 | $1,778.28 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,344.23 | Facility | None | $912.01 | $2,089.30 | $2,344.23 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | None | $870.96 | $1,071.52 | $1,548.82 |
United Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $302.00 | $2,290.87 | $10,232.93 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,513.56 | Professional | None | $851.14 | $1,071.52 | $1,513.56 |
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 $363.08 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $363.08 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $158.49 | $190.55 |
Where Indiana 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.