How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,122 to $54,954Professionalmedian $1,778 · 10th to 90th $1,072 to $2,754
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 $1,174.90 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $8,128.31 Typical High $63,095.73 | Facility | None | $3,548.13 | $8,128.31 | $63,095.73 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,862.09 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $295.12 Typical High $398.11 | Professional | 80 · Assistant surgeon | $190.55 | $295.12 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $257.04 Typical High $346.74 | Professional | AS · PA/NP assist | $165.96 | $257.04 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,380.38 Typical High $57,543.99 | Facility | None | $512.86 | $1,380.38 | $57,543.99 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,548.82 | $3,019.95 |
ConnectiCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,513.56 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $3,467.37 | Professional | None | $831.76 | $1,479.11 | $3,467.37 |
1 more rate 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 78 · Unplanned return to OR Typical Low $891.25 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $891.25 | $1,348.96 | $1,348.96 |
Where Connecticut sits
The same service costs 5.3 times more in Alaska than in Kentucky. 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
AK $11,922KY $2,240
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.