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 $1,949.84 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,949.84 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $4,677.35 | Professional | None | $1,862.09 | $1,949.84 | $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 $1,621.81 Median $2,630.27 Typical High $3,981.07 | Professional | None | $1,621.81 | $2,630.27 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,778.28 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,174.90 | $1,778.28 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $478.63 Typical High $676.08 | Professional | 80 · Assistant surgeon | $338.84 | $478.63 | $676.08 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $407.38 Typical High $562.34 | Professional | AS · PA/NP assist | $257.04 | $407.38 | $562.34 |
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 $1,995.26 Median $3,548.13 Typical High $5,128.61 | Professional | None | $1,995.26 | $3,548.13 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $9,332.54 | Professional | None | $1,905.46 | $2,089.30 | $9,332.54 |
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 $1,778.28 Median $2,818.38 Typical High $5,888.44 | Professional | None | $1,778.28 | $2,818.38 | $5,888.44 |
1 more rate 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 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,348.96 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,348.96 | $1,621.81 |
Where Georgia sits
The same service costs 5.6 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· 28th of 51
$2,344
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.