How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,349 to $27,542Professionalmedian $5,012 · 10th to 90th $3,020 to $7,586
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 $3,388.44 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,388.44 | $4,677.35 | $4,677.35 |
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 $3,019.95 Median $5,248.07 Typical High $7,244.36 | Professional | None | $3,019.95 | $5,248.07 | $7,244.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $4,466.84 Median $7,943.28 Typical High $10,964.78 | Professional | 50 · Both sides | $4,466.84 | $7,943.28 | $10,964.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,905.46 Median $3,311.31 Typical High $4,570.88 | Professional | 62 · Two surgeons | $1,905.46 | $3,311.31 | $4,570.88 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $478.63 Median $831.76 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $478.63 | $831.76 | $1,148.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $416.87 Median $724.44 Typical High $1,023.29 | Professional | AS · PA/NP assist | $416.87 | $724.44 | $1,023.29 |
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 $4,570.88 Median $4,897.79 Typical High $7,585.78 | Professional | None | $4,570.88 | $4,897.79 | $7,585.78 |
ConnectiCare Setting Professional Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $5,248.07 | Professional | None | $3,467.37 | $4,570.88 | $5,248.07 |
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 $2,454.71 Median $4,786.30 Typical High $8,709.64 | Professional | None | $2,454.71 | $4,786.30 | $8,709.64 |
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 $1,698.24 Median $2,344.23 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,698.24 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $933.25 Typical High $933.25 | Professional | 53 · Discontinued | $676.08 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $3,548.13 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,570.40 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $707.95 Typical High $707.95 | Professional | 55 · Aftercare only | $512.86 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $467.74 Typical High $467.74 | Professional | 56 · Pre-op care only | $338.84 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $3,311.31 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $2,398.83 | $3,311.31 | $3,311.31 |
Where Connecticut sits
The same service costs 20.4 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· 13th of 51
$5,012
AK $13,183TX $646
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.