How much rates vary
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 $1,202.26 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,202.26 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $3,090.30 | Professional | None | $870.96 | $954.99 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $5,754.40 | Facility | None | $676.08 | $1,348.96 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $2,089.30 | Professional | None | $870.96 | $1,230.27 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $776.25 Typical High $1,348.96 | Professional | 62 · Two surgeons | $562.34 | $776.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,238.72 Typical High $2,951.21 | Facility | None | $741.31 | $2,238.72 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,819.70 Typical High $1,995.26 | Professional | None | $831.76 | $1,819.70 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,995.26 | Professional | None | $1,047.13 | $1,148.15 | $1,995.26 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,479.11 Typical High $2,630.27 | Professional | None | $933.25 | $1,479.11 | $2,630.27 |
6 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 $436.52 Median $446.68 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $177.83 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $676.08 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $134.90 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $89.13 Typical High $109.65 | Professional | 56 · Pre-op care only | $87.10 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $630.96 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $630.96 | $758.58 |
Where Georgia sits
The same service costs 8.3 times more in Alaska than in Texas. 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.
Georgia· 21st of 51
$1,349
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.