How much rates vary
Facilitymedian $851 · 10th to 90th $126 to $10,233Professionalmedian $692 · 10th to 90th $537 to $1,122
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 $1,862.09 Median $4,365.16 Typical High $12,589.25 | Facility | None | $1,862.09 | $4,365.16 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $3,548.13 | Professional | None | $602.56 | $602.56 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,737.80 Typical High $16,595.87 | Facility | None | $489.78 | $1,737.80 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,174.90 | Professional | None | $537.03 | $676.08 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $338.84 Median $426.58 Typical High $741.31 | Professional | 62 · Two surgeons | $338.84 | $426.58 | $741.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $107.15 Typical High $186.21 | Professional | 80 · Assistant surgeon | $85.11 | $107.15 | $186.21 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $93.33 Typical High $165.96 | Professional | AS · PA/NP assist | $75.86 | $93.33 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,096.48 | Facility | None | $562.34 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $2,691.53 | Facility | None | $436.52 | $616.60 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,288.25 | Professional | None | $660.69 | $912.01 | $1,288.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $2,691.53 | Facility | None | $446.68 | $616.60 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,288.25 | Professional | None | $660.69 | $912.01 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $933.25 | Professional | None | $501.19 | $645.65 | $933.25 |
SummaCare Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $794.33 | Professional | None | $549.54 | $602.56 | $794.33 |
United Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $2,398.83 | Facility | None | $97.72 | $257.04 | $2,398.83 |
United Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $1,258.93 | Professional | None | $436.52 | $741.31 | $1,258.93 |
5 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 $302.00 Median $302.00 Typical High $1,174.90 | Professional | 52 · Reduced service | $302.00 | $302.00 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $467.74 | Professional | 53 · Discontinued | $123.03 | $123.03 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $1,737.80 | Professional | 54 · Surgery only | $457.09 | $457.09 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $354.81 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $234.42 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $234.42 |
Where Ohio sits
The same service costs 4.7 times more in Alaska than in Utah. 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.
Ohio· 42nd of 51
$692
AK $2,754UT $589
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.