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 $1,122.02 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,122.02 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,230.27 | Professional | None | $954.99 | $1,122.02 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $16,218.10 | Facility | None | $1,288.25 | $2,344.23 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,737.80 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $2,398.83 | Facility | None | $457.09 | $549.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,380.38 | $2,089.30 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $3,981.07 | Professional | None | $1,122.02 | $1,862.09 | $3,981.07 |
4 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 $741.31 Median $831.76 Typical High $912.01 | Professional | 54 · Surgery only | $741.31 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $181.97 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $112.20 Typical High $123.03 | Professional | 56 · Pre-op care only | $100.00 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $776.25 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $691.83 | $776.25 | $851.14 |
Where Georgia sits
The same service costs 16.2 times more in Alaska 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· 14th of 51
$1,660
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.