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 $125.89 Median $3,630.78 Typical High $7,943.28 | Facility | None | $125.89 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $331.13 | Professional | None | $117.49 | $131.83 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $269.15 | Professional | None | $125.89 | $181.97 | $269.15 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $81.28 Median $120.23 Typical High $186.21 | Professional | 62 · Two surgeons | $81.28 | $120.23 | $186.21 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $32.36 Typical High $48.98 | Professional | 80 · Assistant surgeon | $22.39 | $32.36 | $48.98 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $25.70 Typical High $41.69 | Professional | AS · PA/NP assist | $18.20 | $25.70 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $3,235.94 | Facility | None | $446.68 | $645.65 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $363.08 | Professional | None | $138.04 | $208.93 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $316.23 | Professional | None | $125.89 | $144.54 | $316.23 |
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 $114.82 Median $204.17 Typical High $380.19 | Professional | None | $114.82 | $204.17 | $380.19 |
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 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 54 · Surgery only | $89.13 | $89.13 | $109.65 |
Where Georgia sits
The same service costs 4.9 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· 14th of 51
$186
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.