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 $1,348.96 Median $6,165.95 Typical High $15,488.17 | Facility | None | $1,348.96 | $6,165.95 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $1,548.82 | Professional | None | $588.84 | $616.60 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $11,748.98 | Facility | None | $1,047.13 | $2,089.30 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,659.59 | Professional | None | $630.96 | $794.33 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $446.68 Median $630.96 Typical High $1,318.26 | Professional | 62 · Two surgeons | $446.68 | $630.96 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $158.49 Typical High $331.13 | Professional | 80 · Assistant surgeon | $112.20 | $158.49 | $331.13 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $138.04 Typical High $295.12 | Professional | AS · PA/NP assist | $97.72 | $138.04 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $10,964.78 Typical High $14,125.38 | Facility | None | $1,479.11 | $10,964.78 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,995.26 | Professional | None | $676.08 | $954.99 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $8,709.64 | Professional | None | $549.54 | $851.14 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $6,760.83 Typical High $12,882.50 | Facility | None | $1,513.56 | $6,760.83 | $12,882.50 |
United Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,621.81 | Professional | None | $630.96 | $933.25 | $1,621.81 |
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 $436.52 Median $436.52 Typical High $524.81 | Professional | 54 · Surgery only | $436.52 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $489.78 |
Where Georgia sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 22nd of 51
$871
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.