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 $2,238.72 Median $5,370.32 Typical High $10,000.00 | Facility | None | $2,238.72 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,238.72 | $2,884.03 |
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 $1,819.70 Median $3,162.28 Typical High $5,370.32 | Professional | None | $1,819.70 | $3,162.28 | $5,370.32 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,513.56 Median $2,137.96 Typical High $3,548.13 | Professional | 62 · Two surgeons | $1,513.56 | $2,137.96 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $588.84 Typical High $891.25 | Professional | 80 · Assistant surgeon | $371.54 | $588.84 | $891.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $457.09 Typical High $776.25 | Professional | AS · PA/NP assist | $331.13 | $457.09 | $776.25 |
CareSource Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
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 $2,344.23 Median $3,548.13 Typical High $6,606.93 | Professional | None | $2,344.23 | $3,548.13 | $6,606.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $6,309.57 | Professional | None | $2,454.71 | $2,818.38 | $6,309.57 |
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 $2,041.74 Median $3,630.78 Typical High $7,079.46 | Professional | None | $2,041.74 | $3,630.78 | $7,079.46 |
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 $1,548.82 Median $1,548.82 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $2,041.74 |
Where Georgia sits
The same service costs 21.9 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· 17th of 51
$3,090
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.