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 $2,290.87 Median $6,760.83 Typical High $10,964.78 | Facility | None | $2,290.87 | $6,760.83 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,290.87 | $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 $2,187.76 Median $3,235.94 Typical High $5,248.07 | Professional | None | $2,187.76 | $3,235.94 | $5,248.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $2,041.74 Typical High $3,311.31 | Professional | 62 · Two surgeons | $1,380.38 | $2,041.74 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $512.86 Typical High $870.96 | Professional | 80 · Assistant surgeon | $354.81 | $512.86 | $870.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $457.09 Typical High $724.44 | Professional | AS · PA/NP assist | $309.03 | $457.09 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $4,265.80 Typical High $5,370.32 | Facility | None | $616.60 | $4,265.80 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,025.60 | Professional | None | $2,238.72 | $3,467.37 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $8,709.64 | Professional | None | $2,570.40 | $2,884.03 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $10,000.00 | Facility | None | $1,513.56 | $3,715.35 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $3,090.30 Typical High $6,025.60 | Professional | None | $1,862.09 | $3,090.30 | $6,025.60 |
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 $1,737.80 Median $1,737.80 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,819.70 |
Where Georgia sits
The same service costs 9.1 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· 19th of 51
$3,236
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.