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 $1,318.26 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,318.26 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,621.81 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $7,244.36 | Facility | None | $691.83 | $1,348.96 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,995.26 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $2,398.83 | Facility | None | $602.56 | $891.25 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,511.89 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $4,365.16 | Professional | None | $1,318.26 | $2,041.74 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,412.54 | $2,344.23 | $3,715.35 |
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 $660.69 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $660.69 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $323.59 Typical High $346.74 | Professional | 53 · Discontinued | $269.15 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $239.88 Typical High $263.03 | Professional | 55 · Aftercare only | $199.53 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $162.18 Typical High $173.78 | Professional | 56 · Pre-op care only | $131.83 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,122.02 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $933.25 | $1,122.02 | $1,230.27 |
Where Georgia sits
The same service costs 5.5 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· 24th of 51
$1,995
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.