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 $1,047.13 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,047.13 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,318.26 | Professional | None | $1,047.13 | $1,071.52 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $14,125.38 | Facility | None | $954.99 | $2,818.38 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,621.81 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $2,454.71 Typical High $3,715.35 | Professional | 50 · Both sides | $1,737.80 | $2,454.71 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,023.29 Typical High $1,548.82 | Professional | 62 · Two surgeons | $741.31 | $1,023.29 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $263.03 Typical High $407.38 | Professional | 80 · Assistant surgeon | $181.97 | $263.03 | $407.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $229.09 Typical High $346.74 | Professional | AS · PA/NP assist | $165.96 | $229.09 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $549.54 Typical High $2,511.89 | Facility | None | $446.68 | $549.54 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,380.38 | $1,949.84 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,445.44 | $2,570.40 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,288.25 | $2,238.72 | $2,884.03 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,621.81 | $3,162.28 |
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 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $1,000.00 | Professional | 54 · Surgery only | $794.33 | $794.33 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $933.25 |
Where Georgia sits
The same service costs 6.8 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· 22nd of 51
$1,514
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.