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 $426.58 Median $6,760.83 Typical High $15,488.17 | Facility | None | $426.58 | $6,760.83 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $1,023.29 | Professional | None | $389.05 | $426.58 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $707.95 Typical High $724.44 | Professional | None | $363.08 | $707.95 | $724.44 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | AS · PA/NP assist | $50.12 | $50.12 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $4,677.35 Typical High $9,772.37 | Facility | None | $1,584.89 | $4,677.35 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $954.99 | Professional | None | $398.11 | $588.84 | $954.99 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $275.42 Median $389.05 Typical High $602.56 | Professional | 62 · Two surgeons | $275.42 | $389.05 | $602.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $104.71 Typical High $158.49 | Professional | 80 · Assistant surgeon | $67.61 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $83.18 Typical High $138.04 | Professional | AS · PA/NP assist | $60.26 | $83.18 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $10,000.00 Typical High $32,359.37 | Facility | None | $6,025.60 | $10,000.00 | $32,359.37 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $1,202.26 | Professional | None | $426.58 | $676.08 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $1,000.00 | Professional | None | $436.52 | $524.81 | $1,000.00 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $8,709.64 Typical High $12,589.25 | Facility | None | $5,128.61 | $8,709.64 | $12,589.25 |
United Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $1,258.93 | Professional | None | $363.08 | $660.69 | $1,258.93 |
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 $288.40 Median $288.40 Typical High $354.81 | Professional | 54 · Surgery only | $288.40 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $331.13 |
Where Georgia sits
The same service costs 4.2 times more in Wyoming 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· 14th of 51
$617
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.