How much rates vary
Facilitymedian $5,495 · 10th to 90th $912 to $12,303Professionalmedian $1,148 · 10th to 90th $661 to $1,778
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 $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,047.13 | Professional | None | $724.44 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $1,258.93 Typical High $1,737.80 | Professional | None | $660.69 | $1,258.93 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $1,862.09 Typical High $2,570.40 | Professional | 50 · Both sides | $977.24 | $1,862.09 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $407.38 Median $776.25 Typical High $1,096.48 | Professional | 62 · Two surgeons | $407.38 | $776.25 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $199.53 Typical High $275.42 | Professional | 80 · Assistant surgeon | $104.71 | $199.53 | $275.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $169.82 Typical High $239.88 | Professional | AS · PA/NP assist | $91.20 | $169.82 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $4,466.84 | Facility | None | $1,000.00 | $3,467.37 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,122.02 | $1,659.59 |
ConnectiCare Setting Facility Modifier None Typical Low $724.44 Median $954.99 Typical High $1,174.90 | Facility | None | $724.44 | $954.99 | $1,174.90 |
ConnectiCare Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,230.27 | Professional | None | $831.76 | $1,071.52 | $1,230.27 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $549.54 Median $1,023.29 Typical High $1,905.46 | Professional | None | $549.54 | $1,023.29 | $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 $363.08 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $363.08 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $147.91 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $549.54 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $109.65 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $72.44 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $512.86 | $724.44 | $724.44 |
Where Connecticut sits
The same service costs 8.7 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· 20th of 51
$1,148
AK $2,951TX $339
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.