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 $2,137.96 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,137.96 | $2,344.23 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $10,000.00 Typical High $18,197.01 | Facility | None | $8,912.51 | $10,000.00 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,019.95 Median $4,570.88 Typical High $6,309.57 | Professional | None | $3,019.95 | $4,570.88 | $6,309.57 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,905.46 Median $2,884.03 Typical High $3,890.45 | Professional | 62 · Two surgeons | $1,905.46 | $2,884.03 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $478.63 Median $741.31 Typical High $977.24 | Professional | 80 · Assistant surgeon | $478.63 | $741.31 | $977.24 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $416.87 Median $645.65 Typical High $870.96 | Professional | AS · PA/NP assist | $416.87 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $7,079.46 Typical High $8,912.51 | Facility | None | $630.96 | $7,079.46 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $6,760.83 | Professional | None | $2,754.23 | $3,311.31 | $6,760.83 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $8,511.38 | Facility | None | $2,691.53 | $3,890.45 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $6,918.31 | Professional | None | $2,454.71 | $3,467.37 | $6,918.31 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $8,511.38 | Facility | None | $2,691.53 | $4,786.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,090.30 | $5,370.32 |
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 $1,778.28 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,584.89 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,659.59 | $1,659.59 |
Where New Hampshire sits
The same service costs 9.1 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· 14th of 51
$3,548
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.