How much rates vary
Facilitymedian $2,291 · 10th to 90th $550 to $9,120Professionalmedian $1,096 · 10th to 90th $1,096 to $2,884
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 $1,380.38 Median $7,079.46 Typical High $15,488.17 | Facility | None | $1,380.38 | $7,079.46 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,096.48 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,949.84 Typical High $10,000.00 | Facility | None | $1,096.48 | $1,949.84 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $977.24 | Professional | None | $588.84 | $776.25 | $977.24 |
CareSource Setting Professional Modifier None Typical Low $69,183.10 Median $69,183.10 Typical High $69,183.10 | Professional | None | $69,183.10 | $69,183.10 | $69,183.10 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $2,691.53 | Facility | None | $501.19 | $549.54 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14,454.40 Median $14,454.40 Typical High $14,454.40 | Professional | None | $14,454.40 | $14,454.40 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
Where Georgia sits
The same service costs 104.7 times more in Wisconsin than in Montana. 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· 44th of 51
$1,096
WI $8,318MT $79.43
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.