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 $1,071.52 Median $6,760.83 Typical High $15,488.17 | Facility | None | $1,071.52 | $6,760.83 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $1,096.48 | Professional | None | $416.87 | $457.09 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
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 $426.58 Median $616.60 Typical High $954.99 | Professional | None | $426.58 | $616.60 | $954.99 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $416.87 Typical High $645.65 | Professional | 62 · Two surgeons | $288.40 | $416.87 | $645.65 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $112.20 Typical High $165.96 | Professional | 80 · Assistant surgeon | $70.79 | $112.20 | $165.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $89.13 Typical High $144.54 | Professional | AS · PA/NP assist | $63.10 | $89.13 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
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 $457.09 Median $676.08 Typical High $1,174.90 | Professional | None | $457.09 | $676.08 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $1,122.02 | Professional | None | $467.74 | $562.34 | $1,122.02 |
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 $389.05 Median $691.83 Typical High $1,348.96 | Professional | None | $389.05 | $691.83 | $1,348.96 |
3 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 $309.03 Median $309.03 Typical High $380.19 | Professional | 54 · Surgery only | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $354.81 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Where Georgia sits
The same service costs 4.4 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
$631
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.