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 $831.76 Median $5,011.87 Typical High $7,943.28 | Facility | None | $831.76 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $2,290.87 Typical High $2,754.23 | Professional | None | $223.87 | $2,290.87 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $1,230.27 Typical High $3,235.94 | Professional | None | $269.15 | $1,230.27 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,995.26 | Facility | None | $870.96 | $1,202.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $1,584.89 Typical High $5,248.07 | Professional | None | $257.04 | $1,584.89 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $2,454.71 Typical High $4,570.88 | Professional | None | $229.09 | $2,454.71 | $4,570.88 |
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 $245.47 Median $1,737.80 Typical High $5,623.41 | Professional | None | $245.47 | $1,737.80 | $5,623.41 |
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 $169.82 Median $281.84 Typical High $1,995.26 | Professional | 54 · Surgery only | $169.82 | $281.84 | $1,995.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $263.03 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $158.49 | $263.03 | $1,862.09 |
Where Georgia sits
The same service costs 7.1 times more in Oregon 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· 42nd of 51
$1,202
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.