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 $1,202.26 Median $6,025.60 Typical High $13,803.84 | Facility | None | $1,202.26 | $6,025.60 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $1,737.80 | Professional | None | $645.65 | $660.69 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,202.26 Typical High $7,585.78 | Facility | None | $575.44 | $1,202.26 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,445.44 | Professional | None | $562.34 | $891.25 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,380.38 Typical High $2,238.72 | Professional | 50 · Both sides | $954.99 | $1,380.38 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $2,691.53 | Facility | None | $602.56 | $1,949.84 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,698.24 | Professional | None | $741.31 | $1,000.00 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,445.44 | Professional | None | $691.83 | $758.58 | $1,445.44 |
Oscar Health Setting Professional Modifier None Typical Low $660.69 Median $1,122.02 Typical High $1,380.38 | Professional | None | $660.69 | $1,122.02 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $7,943.28 | Facility | None | $1,000.00 | $1,995.26 | $7,943.28 |
United Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,621.81 | Professional | None | $575.44 | $954.99 | $1,621.81 |
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 $323.59 Median $331.13 Typical High $363.08 | Professional | 52 · Reduced service | $323.59 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $131.83 Typical High $144.54 | Professional | 53 · Discontinued | $128.82 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $549.54 | Professional | 54 · Surgery only | $489.78 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $66.07 Typical High $72.44 | Professional | 56 · Pre-op care only | $64.57 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $512.86 |
Where Georgia sits
The same service costs 7.4 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
$955
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.