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 $660.69 Median $4,466.84 Typical High $7,585.78 | Facility | None | $660.69 | $4,466.84 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $707.95 | Professional | None | $363.08 | $630.96 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $7,244.36 | Facility | None | $512.86 | $1,174.90 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $812.83 | Professional | None | $295.12 | $501.19 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,388.44 Typical High $4,265.80 | Facility | None | $524.81 | $3,388.44 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $1,380.38 | Professional | None | $457.09 | $794.33 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $707.95 Typical High $1,047.13 | Professional | None | $389.05 | $707.95 | $1,047.13 |
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 $380.19 Median $724.44 Typical High $1,445.44 | Professional | None | $380.19 | $724.44 | $1,445.44 |
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 $181.97 Median $288.40 Typical High $346.74 | Professional | 52 · Reduced service | $181.97 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $114.82 Typical High $138.04 | Professional | 53 · Discontinued | $72.44 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $426.58 Typical High $512.86 | Professional | 54 · Surgery only | $275.42 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $54.95 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $57.54 Typical High $69.18 | Professional | 56 · Pre-op care only | $36.31 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $398.11 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $257.04 | $398.11 | $478.63 |
Where Georgia sits
The same service costs 4.9 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· 25th of 51
$646
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.