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 $3,890.45 Median $5,370.32 Typical High $7,943.28 | Facility | None | $3,890.45 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $4,677.35 | Professional | None | $3,801.89 | $3,890.45 | $4,677.35 |
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 $3,235.94 Median $5,011.87 Typical High $7,762.47 | Professional | None | $3,235.94 | $5,011.87 | $7,762.47 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $588.84 Median $870.96 Typical High $1,318.26 | Professional | 80 · Assistant surgeon | $588.84 | $870.96 | $1,318.26 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $524.81 Median $741.31 Typical High $1,148.15 | Professional | AS · PA/NP assist | $524.81 | $741.31 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $2,398.83 | Facility | None | $457.09 | $549.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $7,244.36 Typical High $10,232.93 | Professional | None | $4,073.80 | $7,244.36 | $10,232.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,801.89 Median $4,265.80 Typical High $28,183.83 | Professional | None | $3,801.89 | $4,265.80 | $28,183.83 |
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 $3,630.78 Median $5,888.44 Typical High $11,748.98 | Professional | None | $3,630.78 | $5,888.44 | $11,748.98 |
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 52 · Reduced service Typical Low $1,905.46 Median $1,949.84 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,905.46 | $1,949.84 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $776.25 Typical High $851.14 | Professional | 53 · Discontinued | $758.58 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $2,951.21 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,884.03 | $2,951.21 | $3,235.94 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,754.23 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,754.23 | $3,019.95 |
Where Georgia sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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· 19th of 51
$4,786
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.