How much rates vary
Facilitymedian $2,512 · 10th to 90th $525 to $8,710Professionalmedian $1,148 · 10th to 90th $832 to $2,089
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 $691.83 Median $851.14 Typical High $1,348.96 | Facility | None | $691.83 | $851.14 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,258.93 | Professional | None | $691.83 | $831.76 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,122.02 | Professional | None | $724.44 | $831.76 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $10,000.00 | Facility | None | $1,412.54 | $3,801.89 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,621.81 | Professional | None | $851.14 | $1,202.26 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $758.58 Typical High $1,023.29 | Professional | 62 · Two surgeons | $537.03 | $758.58 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $190.55 Typical High $263.03 | Professional | 80 · Assistant surgeon | $134.90 | $190.55 | $263.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $169.82 Typical High $229.09 | Professional | AS · PA/NP assist | $120.23 | $169.82 | $229.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,288.25 | Professional | None | $831.76 | $933.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,041.74 | Professional | None | $870.96 | $1,047.13 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,230.27 Typical High $8,317.64 | Facility | None | $54.95 | $1,230.27 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $6,456.54 | Professional | None | $870.96 | $1,513.56 | $6,456.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,412.54 | Professional | None | $851.14 | $1,071.52 | $1,412.54 |
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 $346.74 Median $416.87 Typical High $426.58 | Professional | 52 · Reduced service | $346.74 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $165.96 | $169.82 |
Where Missouri 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.