How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,698 to $8,710Professionalmedian $1,514 · 10th to 90th $1,096 to $2,884
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 $2,754.23 Typical High $11,481.54 | Facility | None | $2,398.83 | $2,754.23 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,380.38 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $9,332.54 | Facility | None | $5,011.87 | $5,623.41 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,148.15 | $1,862.09 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $776.25 Median $1,174.90 Typical High $1,698.24 | Professional | 62 · Two surgeons | $776.25 | $1,174.90 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $302.00 Typical High $436.52 | Professional | 80 · Assistant surgeon | $194.98 | $302.00 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $263.03 Typical High $380.19 | Professional | AS · PA/NP assist | $173.78 | $263.03 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $5,754.40 Typical High $7,244.36 | Facility | None | $630.96 | $5,754.40 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,230.27 | $1,479.11 | $3,019.95 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,265.80 | Facility | None | $1,698.24 | $1,949.84 | $4,265.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,000.00 | $1,513.56 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $4,265.80 | Facility | None | $1,698.24 | $2,089.30 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,548.82 | $2,951.21 |
Well Sense Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
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 $588.84 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $588.84 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $234.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $870.96 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $173.78 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $812.83 | $954.99 | $954.99 |
Where New Hampshire sits
The same service costs 7.9 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· 20th of 51
$1,622
AK $4,074TX $513
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.