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 $2,344.23 Median $5,370.32 Typical High $7,943.28 | Facility | None | $2,344.23 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,344.23 Typical High $5,370.32 | Professional | None | $2,290.87 | $2,344.23 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,089.30 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $4,786.30 | Professional | None | $1,949.84 | $3,162.28 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $2,137.96 Typical High $3,090.30 | Professional | 62 · Two surgeons | $1,412.54 | $2,137.96 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $588.84 Typical High $831.76 | Professional | 80 · Assistant surgeon | $354.81 | $588.84 | $831.76 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $478.63 Typical High $707.95 | Professional | AS · PA/NP assist | $316.23 | $478.63 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $549.54 Typical High $2,511.89 | Facility | None | $446.68 | $549.54 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $4,365.16 Typical High $6,165.95 | Professional | None | $2,454.71 | $4,365.16 | $6,165.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $11,748.98 | Professional | None | $2,344.23 | $2,570.40 | $11,748.98 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $7,079.46 | Professional | None | $2,187.76 | $3,548.13 | $7,079.46 |
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 $1,737.80 Median $1,778.28 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,737.80 | $1,778.28 | $2,137.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,659.59 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,659.59 | $1,995.26 |
Where Georgia sits
The same service costs 5.2 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· 26th of 51
$2,884
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.