How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,349 to $27,542Professionalmedian $6,166 · 10th to 90th $3,631 to $9,550
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 $4,168.69 Median $6,025.60 Typical High $6,025.60 | Professional | None | $4,168.69 | $6,025.60 | $6,025.60 |
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 $3,630.78 Median $6,918.31 Typical High $9,120.11 | Professional | None | $3,630.78 | $6,918.31 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $5,495.41 Median $10,232.93 Typical High $13,803.84 | Professional | 50 · Both sides | $5,495.41 | $10,232.93 | $13,803.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $2,290.87 Median $4,265.80 Typical High $5,754.40 | Professional | 62 · Two surgeons | $2,290.87 | $4,265.80 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $575.44 Median $1,071.52 Typical High $1,479.11 | Professional | 80 · Assistant surgeon | $575.44 | $1,071.52 | $1,479.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $512.86 Median $954.99 Typical High $1,288.25 | Professional | AS · PA/NP assist | $512.86 | $954.99 | $1,288.25 |
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 $5,754.40 Median $6,760.83 Typical High $9,120.11 | Professional | None | $5,754.40 | $6,760.83 | $9,120.11 |
ConnectiCare Setting Professional Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $7,244.36 | Professional | None | $4,168.69 | $6,025.60 | $7,244.36 |
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 $3,090.30 Median $5,888.44 Typical High $10,715.19 | Professional | None | $3,090.30 | $5,888.44 | $10,715.19 |
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 $2,089.30 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $2,089.30 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $1,202.26 Typical High $1,202.26 | Professional | 53 · Discontinued | $831.76 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $4,466.84 Typical High $4,466.84 | Professional | 54 · Surgery only | $3,090.30 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $891.25 Typical High $891.25 | Professional | 55 · Aftercare only | $616.60 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $416.87 Median $602.56 Typical High $602.56 | Professional | 56 · Pre-op care only | $416.87 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $4,168.69 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $2,884.03 | $4,168.69 | $4,168.69 |
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· 14th of 51
$6,166
AK $15,849TX $776
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.