How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,000 to $14,454Professionalmedian $2,089 · 10th to 90th $1,259 to $3,311
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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,445.44 | $2,089.30 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,288.25 | $2,398.83 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $3,467.37 Typical High $4,786.30 | Professional | 50 · Both sides | $1,949.84 | $3,467.37 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $1,445.44 Typical High $2,041.74 | Professional | 62 · Two surgeons | $812.83 | $1,445.44 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $371.54 Typical High $512.86 | Professional | 80 · Assistant surgeon | $208.93 | $371.54 | $512.86 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $323.59 Typical High $446.68 | Professional | AS · PA/NP assist | $181.97 | $323.59 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,762.47 Typical High $9,772.37 | Facility | None | $851.14 | $7,762.47 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $3,090.30 | Professional | None | $1,949.84 | $2,238.72 | $3,090.30 |
ConnectiCare Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,445.44 | $1,995.26 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $3,715.35 | Professional | None | $1,071.52 | $1,949.84 | $3,715.35 |
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 $707.95 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $707.95 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $288.40 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,071.52 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $213.80 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $144.54 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,445.44 | $1,445.44 |
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· 17th of 51
$2,089
AK $5,370TX $288
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.