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 $2,290.87 Median $5,370.32 Typical High $7,943.28 | Facility | None | $2,290.87 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $5,128.61 | Professional | None | $2,238.72 | $2,290.87 | $5,128.61 |
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 $1,905.46 Median $3,090.30 Typical High $4,677.35 | Professional | None | $1,905.46 | $3,090.30 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $2,041.74 Typical High $3,019.95 | Professional | 62 · Two surgeons | $1,380.38 | $2,041.74 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $562.34 Typical High $776.25 | Professional | 80 · Assistant surgeon | $338.84 | $562.34 | $776.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $446.68 Typical High $660.69 | Professional | AS · PA/NP assist | $302.00 | $446.68 | $660.69 |
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 $2,398.83 Median $4,265.80 Typical High $6,025.60 | Professional | None | $2,398.83 | $4,265.80 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $10,471.29 | Professional | None | $2,238.72 | $2,454.71 | $10,471.29 |
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 $2,137.96 Median $3,311.31 Typical High $6,918.31 | Professional | None | $2,137.96 | $3,311.31 | $6,918.31 |
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 $1,659.59 Median $1,698.24 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,659.59 | $1,698.24 | $2,089.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,584.89 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,584.89 | $1,949.84 |
Where Georgia sits
The same service costs 5.4 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
$2,818
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.