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 $309.03 Median $5,370.32 Typical High $8,317.64 | Facility | None | $309.03 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $398.11 | Professional | None | $223.87 | $316.23 | $398.11 |
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 $229.09 Median $309.03 Typical High $575.44 | Professional | None | $229.09 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $501.19 Typical High $933.25 | Professional | 50 · Both sides | $363.08 | $501.19 | $933.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $154.88 Median $208.93 Typical High $389.05 | Professional | 62 · Two surgeons | $154.88 | $208.93 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $1,513.56 | Facility | None | $181.97 | $245.47 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $707.95 | Professional | None | $257.04 | $426.58 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $933.25 | Professional | None | $239.88 | $354.81 | $933.25 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $229.09 Median $416.87 Typical High $707.95 | Professional | None | $229.09 | $416.87 | $707.95 |
1 more rate 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 78 · Unplanned return to OR Typical Low $154.88 Median $199.53 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $154.88 | $199.53 | $234.42 |
Where Georgia sits
The same service costs 5.0 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· 24th of 51
$363
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.