How much rates vary
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 $4,466.84 Typical High $20,892.96 | Facility | None | $2,398.83 | $4,466.84 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $11,220.18 Typical High $28,183.83 | Facility | None | $8,912.51 | $11,220.18 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,019.95 Median $4,677.35 Typical High $6,309.57 | Professional | None | $3,019.95 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,905.46 Median $2,951.21 Typical High $3,981.07 | Professional | 62 · Two surgeons | $1,905.46 | $2,951.21 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $489.78 Median $741.31 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $489.78 | $741.31 | $1,000.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $426.58 Median $645.65 Typical High $891.25 | Professional | AS · PA/NP assist | $426.58 | $645.65 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $22,387.21 Typical High $28,183.83 | Facility | None | $630.96 | $22,387.21 | $28,183.83 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $6,918.31 | Professional | None | $2,884.03 | $3,388.44 | $6,918.31 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $12,302.69 | Facility | None | $2,884.03 | $4,168.69 | $12,302.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $6,918.31 | Professional | None | $2,454.71 | $3,630.78 | $6,918.31 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $5,754.40 Typical High $12,302.69 | Facility | None | $2,884.03 | $5,754.40 | $12,302.69 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,162.28 | $5,495.41 |
2 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 54 · Surgery only Typical Low $1,584.89 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,584.89 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,584.89 | $1,584.89 |
Where New Hampshire sits
The same service costs 8.1 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· 13th of 51
$3,631
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.