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 $1,698.24 Median $6,165.95 Typical High $13,803.84 | Facility | None | $1,698.24 | $6,165.95 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $4,570.88 | Professional | None | $1,698.24 | $1,698.24 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $11,748.98 | Facility | None | $1,071.52 | $1,995.26 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $3,801.89 | Professional | None | $1,479.11 | $2,344.23 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,630.78 Typical High $6,025.60 | Professional | 50 · Both sides | $2,570.40 | $3,630.78 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,466.84 Typical High $6,606.93 | Facility | None | $602.56 | $4,466.84 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $4,365.16 | Professional | None | $1,949.84 | $2,754.23 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,698.24 | $1,949.84 | $2,754.23 |
Oscar Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,884.03 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $9,549.93 | Facility | None | $1,513.56 | $3,715.35 | $9,549.93 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $4,265.80 | Professional | None | $1,513.56 | $2,511.89 | $4,265.80 |
4 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 $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,348.96 |
Where Georgia sits
The same service costs 7.8 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
$2,399
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.