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 $346.74 Median $3,630.78 Typical High $7,943.28 | Facility | None | $346.74 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $912.01 | Professional | None | $331.13 | $363.08 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $467.74 Typical High $776.25 | Professional | None | $275.42 | $467.74 | $776.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $218.78 Median $309.03 Typical High $512.86 | Professional | 62 · Two surgeons | $218.78 | $309.03 | $512.86 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $85.11 Typical High $138.04 | Professional | 80 · Assistant surgeon | $54.95 | $85.11 | $138.04 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $69.18 Typical High $120.23 | Professional | AS · PA/NP assist | $48.98 | $69.18 | $120.23 |
CareSource Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,288.25 Typical High $1,659.59 | Facility | None | $407.38 | $1,288.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $954.99 | Professional | None | $354.81 | $549.54 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $870.96 | Professional | None | $398.11 | $446.68 | $870.96 |
Oscar Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $3,548.13 | Facility | None | $501.19 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $295.12 Median $537.03 Typical High $1,071.52 | Professional | None | $295.12 | $537.03 | $1,071.52 |
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 $234.42 Median $234.42 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $302.00 |
Where Georgia sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 17th of 51
$490
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.