How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,349 to $27,542Professionalmedian $4,266 · 10th to 90th $2,455 to $6,310
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 $4,365.16 Median $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $4,168.69 | Professional | None | $2,570.40 | $4,168.69 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $21,877.62 Typical High $25,703.96 | Facility | None | $1,548.82 | $21,877.62 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $4,365.16 Typical High $5,754.40 | Professional | None | $2,511.89 | $4,365.16 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $6,309.57 Typical High $8,709.64 | Professional | 50 · Both sides | $3,801.89 | $6,309.57 | $8,709.64 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,691.53 Typical High $3,630.78 | Professional | 62 · Two surgeons | $1,584.89 | $2,691.53 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $676.08 Typical High $912.01 | Professional | 80 · Assistant surgeon | $407.38 | $676.08 | $912.01 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $588.84 Typical High $812.83 | Professional | AS · PA/NP assist | $354.81 | $588.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $28,183.83 Typical High $35,481.34 | Facility | None | $851.14 | $28,183.83 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $3,715.35 Typical High $6,309.57 | Professional | None | $3,630.78 | $3,715.35 | $6,309.57 |
ConnectiCare Setting Professional Modifier None Typical Low $2,884.03 Median $3,801.89 Typical High $3,981.07 | Professional | None | $2,884.03 | $3,801.89 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $9,549.93 Typical High $18,197.01 | Facility | None | $1,348.96 | $9,549.93 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,981.07 Typical High $7,413.10 | Professional | None | $1,995.26 | $3,981.07 | $7,413.10 |
6 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 52 · Reduced service Typical Low $1,258.93 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,258.93 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $512.86 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,905.46 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $380.19 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $257.04 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,884.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,884.03 | $2,884.03 |
Where Connecticut sits
The same service costs 20.0 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.
Connecticut· 11th of 51
$4,266
AK $11,220TX $562
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.