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 $831.76 Median $5,011.87 Typical High $7,943.28 | Facility | None | $831.76 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $851.14 | Professional | None | $537.03 | $537.03 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,202.26 | Professional | None | $467.74 | $741.31 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,122.02 Typical High $1,819.70 | Professional | 50 · Both sides | $794.33 | $1,122.02 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $467.74 Typical High $758.58 | Professional | 62 · Two surgeons | $331.13 | $467.74 | $758.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $123.03 Typical High $204.17 | Professional | 80 · Assistant surgeon | $85.11 | $123.03 | $204.17 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $104.71 Typical High $169.82 | Professional | AS · PA/NP assist | $74.13 | $104.71 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,096.48 Typical High $1,445.44 | Facility | None | $537.03 | $1,096.48 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,380.38 | Professional | None | $588.84 | $812.83 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $2,344.23 | Professional | None | $575.44 | $630.96 | $2,344.23 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $3,548.13 | Facility | None | $501.19 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $1,348.96 | Professional | None | $457.09 | $741.31 | $1,348.96 |
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 $398.11 Median $407.38 Typical High $446.68 | Professional | 54 · Surgery only | $398.11 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $416.87 |
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· 23rd of 51
$741
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.