How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,096 to $22,909Professionalmedian $3,020 · 10th to 90th $1,698 to $4,571
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 $1,905.46 Median $2,754.23 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,754.23 | $2,754.23 |
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 $1,698.24 Median $3,235.94 Typical High $4,265.80 | Professional | None | $1,698.24 | $3,235.94 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,511.89 Median $4,897.79 Typical High $6,456.54 | Professional | 50 · Both sides | $2,511.89 | $4,897.79 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $2,041.74 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,047.13 | $2,041.74 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $512.86 Typical High $691.83 | Professional | 80 · Assistant surgeon | $269.15 | $512.86 | $691.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $457.09 Typical High $602.56 | Professional | AS · PA/NP assist | $234.42 | $457.09 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,862.09 Typical High $2,691.53 | Facility | None | $851.14 | $1,862.09 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,801.89 Typical High $4,365.16 | Professional | None | $2,884.03 | $3,801.89 | $4,365.16 |
ConnectiCare Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $3,981.07 | Professional | None | $2,089.30 | $3,311.31 | $3,981.07 |
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 $1,412.54 Median $2,818.38 Typical High $4,897.79 | Professional | None | $1,412.54 | $2,818.38 | $4,897.79 |
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 $954.99 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $954.99 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $380.19 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,412.54 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $281.84 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $190.55 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,905.46 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,905.46 | $1,905.46 |
Where Connecticut sits
The same service costs 18.6 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
$3,162
AK $7,413TX $398
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.