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 $1,122.02 Median $5,370.32 Typical High $10,000.00 | Facility | None | $1,122.02 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,122.02 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,778.28 Typical High $7,244.36 | Facility | None | $588.84 | $1,778.28 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,630.27 | Professional | None | $912.01 | $1,584.89 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,071.52 Typical High $1,778.28 | Professional | 62 · Two surgeons | $741.31 | $1,071.52 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $288.40 Typical High $446.68 | Professional | 80 · Assistant surgeon | $181.97 | $288.40 | $446.68 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $234.42 Typical High $389.05 | Professional | AS · PA/NP assist | $162.18 | $234.42 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $1,174.90 Median $1,737.80 Typical High $3,235.94 | Professional | None | $1,174.90 | $1,737.80 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $3,019.95 | Professional | None | $1,258.93 | $1,445.44 | $3,019.95 |
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 $1,000.00 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,000.00 | $1,819.70 | $3,548.13 |
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 $776.25 Median $776.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $1,023.29 |
Where Georgia sits
The same service costs 5.8 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· 20th of 51
$1,549
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.