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 $2,344.23 Median $6,760.83 Typical High $10,964.78 | Facility | None | $2,344.23 | $6,760.83 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,691.53 | Professional | None | $2,344.23 | $2,344.23 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $11,220.18 | Facility | None | $1,071.52 | $1,905.46 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $5,370.32 | Professional | None | $2,041.74 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,479.11 Median $2,089.30 Typical High $3,388.44 | Professional | 62 · Two surgeons | $1,479.11 | $2,089.30 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $363.08 Median $549.54 Typical High $891.25 | Professional | 80 · Assistant surgeon | $363.08 | $549.54 | $891.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $467.74 Typical High $741.31 | Professional | AS · PA/NP assist | $331.13 | $467.74 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $12,882.50 Typical High $16,218.10 | Facility | None | $602.56 | $12,882.50 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $6,165.95 | Professional | None | $2,570.40 | $3,630.78 | $6,165.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $8,317.64 | Professional | None | $2,570.40 | $2,951.21 | $8,317.64 |
Oscar Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $6,760.83 Typical High $13,182.57 | Facility | None | $1,513.56 | $6,760.83 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $6,165.95 | Professional | None | $1,949.84 | $3,162.28 | $6,165.95 |
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 $1,778.28 Median $1,778.28 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,995.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,862.09 |
Where Georgia sits
The same service costs 8.1 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· 20th of 51
$3,311
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.