How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,122 to $22,909Professionalmedian $3,467 · 10th to 90th $1,905 to $5,129
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 $2,089.30 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,951.21 | $2,951.21 |
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 $1,905.46 Median $3,630.78 Typical High $5,011.87 | Professional | None | $1,905.46 | $3,630.78 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,818.38 Median $5,370.32 Typical High $7,585.78 | Professional | 50 · Both sides | $2,818.38 | $5,370.32 | $7,585.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $2,290.87 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,202.26 | $2,290.87 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $575.44 Typical High $812.83 | Professional | 80 · Assistant surgeon | $302.00 | $575.44 | $812.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $501.19 Typical High $707.95 | Professional | AS · PA/NP assist | $263.03 | $501.19 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,344.23 Typical High $3,019.95 | Facility | None | $851.14 | $2,344.23 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $4,073.80 Typical High $4,786.30 | Professional | None | $3,235.94 | $4,073.80 | $4,786.30 |
ConnectiCare Setting Professional Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $4,265.80 | Professional | None | $2,290.87 | $3,715.35 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $3,235.94 Typical High $5,495.41 | Professional | None | $1,621.81 | $3,235.94 | $5,495.41 |
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 $1,047.13 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,047.13 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $416.87 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,584.89 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $316.23 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $208.93 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,041.74 | $2,041.74 |
Where Connecticut sits
The same service costs 19.5 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· 12th of 51
$3,467
AK $8,318TX $427
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.