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 $1,202.26 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,202.26 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $2,754.23 | Professional | None | $524.81 | $549.54 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $5,754.40 | Facility | None | $676.08 | $1,348.96 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,071.52 | Professional | None | $467.74 | $676.08 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,691.53 Typical High $3,548.13 | Facility | None | $741.31 | $2,691.53 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $912.01 Typical High $1,445.44 | Professional | None | $549.54 | $912.01 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $1,698.24 | Professional | None | $537.03 | $588.84 | $1,698.24 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,621.81 | Professional | None | $501.19 | $758.58 | $1,621.81 |
6 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 $263.03 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $263.03 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $109.65 Typical High $131.83 | Professional | 53 · Discontinued | $104.71 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $489.78 | Professional | 54 · Surgery only | $398.11 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $100.00 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $54.95 Typical High $66.07 | Professional | 56 · Pre-op care only | $52.48 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $457.09 |
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· 30th of 51
$832
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.