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 $645.65 Median $5,370.32 Typical High $7,943.28 | Facility | None | $645.65 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $741.31 | Professional | None | $389.05 | $398.11 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $977.24 | Professional | None | $302.00 | $549.54 | $977.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $851.14 Typical High $1,513.56 | Professional | 50 · Both sides | $588.84 | $851.14 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,073.80 Typical High $5,128.61 | Facility | None | $602.56 | $4,073.80 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $1,047.13 | Professional | None | $446.68 | $616.60 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $812.83 | Professional | None | $436.52 | $478.63 | $812.83 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $1,047.13 | Professional | None | $338.84 | $562.34 | $1,047.13 |
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 $194.98 Median $199.53 Typical High $218.78 | Professional | 52 · Reduced service | $194.98 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $87.10 | Professional | 53 · Discontinued | $77.62 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $302.00 Typical High $331.13 | Professional | 54 · Surgery only | $295.12 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $60.26 Typical High $66.07 | Professional | 55 · Aftercare only | $58.88 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $39.81 Typical High $43.65 | Professional | 56 · Pre-op care only | $38.90 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $281.84 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $275.42 | $281.84 | $309.03 |
Where Georgia sits
The same service costs 7.2 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
$575
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.