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 $1,737.80 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,737.80 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $3,890.45 | Professional | None | $1,698.24 | $1,737.80 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $9,772.37 | Facility | None | $912.01 | $1,698.24 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $3,467.37 | Professional | None | $1,445.44 | $2,344.23 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,621.81 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,047.13 | $1,621.81 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $426.58 Typical High $588.84 | Professional | 80 · Assistant surgeon | $263.03 | $426.58 | $588.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $346.74 Typical High $501.19 | Professional | AS · PA/NP assist | $234.42 | $346.74 | $501.19 |
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 $1,778.28 Median $3,162.28 Typical High $4,570.88 | Professional | None | $1,778.28 | $3,162.28 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $7,943.28 | Professional | None | $1,737.80 | $1,905.46 | $7,943.28 |
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 $1,621.81 Median $2,511.89 Typical High $5,248.07 | Professional | None | $1,621.81 | $2,511.89 | $5,248.07 |
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 $1,258.93 Median $1,288.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,258.93 | $1,288.25 | $1,548.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,202.26 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,202.26 | $1,445.44 |
Where Georgia sits
The same service costs 5.9 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· 25th of 51
$2,138
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.