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 $691.83 Median $5,011.87 Typical High $7,943.28 | Facility | None | $691.83 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $1,445.44 | Professional | None | $537.03 | $549.54 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $3,630.78 | Facility | None | $478.63 | $851.14 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,230.27 | Professional | None | $457.09 | $758.58 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,148.15 Typical High $1,862.09 | Professional | 50 · Both sides | $794.33 | $1,148.15 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $776.25 | Facility | None | $134.90 | $181.97 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,412.54 | Professional | None | $562.34 | $812.83 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $933.25 | Professional | None | $588.84 | $645.65 | $933.25 |
Oscar Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,000.00 | Professional | None | $977.24 | $977.24 | $1,000.00 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $436.52 Median $707.95 Typical High $1,380.38 | Professional | None | $436.52 | $707.95 | $1,380.38 |
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 $269.15 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $457.09 | Professional | 54 · Surgery only | $407.38 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $53.70 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $426.58 |
Where Georgia sits
The same service costs 7.9 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· 16th of 51
$759
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.