How much rates vary
Facilitymedian $8,913 · 10th to 90th $2,884 to $26,915Professionalmedian $4,786 · 10th to 90th $3,236 to $8,511
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,398.83 Median $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,235.94 Typical High $3,388.44 | Professional | None | $3,162.28 | $3,235.94 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $10,000.00 Typical High $18,197.01 | Facility | None | $8,912.51 | $10,000.00 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $8,709.64 | Professional | None | $3,890.45 | $6,025.60 | $8,709.64 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $5,888.44 Median $8,912.51 Typical High $13,182.57 | Professional | 50 · Both sides | $5,888.44 | $8,912.51 | $13,182.57 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $2,454.71 Median $3,801.89 Typical High $5,495.41 | Professional | 62 · Two surgeons | $2,454.71 | $3,801.89 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $630.96 Median $954.99 Typical High $1,412.54 | Professional | 80 · Assistant surgeon | $630.96 | $954.99 | $1,412.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $549.54 Median $831.76 Typical High $1,230.27 | Professional | AS · PA/NP assist | $549.54 | $831.76 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $26,302.68 Typical High $33,113.11 | Facility | None | $630.96 | $26,302.68 | $33,113.11 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $9,772.37 | Professional | None | $3,890.45 | $4,786.30 | $9,772.37 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $10,964.78 | Facility | None | $2,884.03 | $4,168.69 | $10,964.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3,162.28 Median $4,677.35 Typical High $8,128.31 | Professional | None | $3,162.28 | $4,677.35 | $8,128.31 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $5,754.40 Typical High $10,964.78 | Facility | None | $2,884.03 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $3,981.07 Median $4,677.35 Typical High $7,943.28 | Professional | None | $3,981.07 | $4,677.35 | $7,943.28 |
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 $1,548.82 Median $1,621.81 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,548.82 | $1,621.81 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $645.65 Typical High $676.08 | Professional | 53 · Discontinued | $630.96 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,454.71 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,344.23 | $2,454.71 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $489.78 Typical High $512.86 | Professional | 55 · Aftercare only | $467.74 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $323.59 Typical High $338.84 | Professional | 56 · Pre-op care only | $316.23 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,290.87 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,290.87 | $2,344.23 |
Where New Hampshire 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.
New Hampshire· 19th of 51
$4,786
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.