How much rates vary
Facilitymedian $6,457 · 10th to 90th $2,692 to $12,303Professionalmedian $1,413 · 10th to 90th $1,023 to $2,570
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 $3,890.45 Typical High $15,848.93 | Facility | None | $2,398.83 | $3,890.45 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | None | $977.24 | $1,096.48 | $1,096.48 |
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 $1,174.90 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,819.70 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,691.53 Typical High $3,890.45 | Professional | 50 · Both sides | $1,778.28 | $2,691.53 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,148.15 Typical High $1,621.81 | Professional | 62 · Two surgeons | $741.31 | $1,148.15 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $288.40 Typical High $407.38 | Professional | 80 · Assistant surgeon | $190.55 | $288.40 | $407.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $251.19 Typical High $363.08 | Professional | AS · PA/NP assist | $165.96 | $251.19 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $8,128.31 Typical High $11,220.18 | Facility | None | $933.25 | $8,128.31 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,412.54 | $2,884.03 |
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 $954.99 Median $1,445.44 Typical High $2,818.38 | Professional | None | $954.99 | $1,445.44 | $2,818.38 |
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 $1,122.02 Median $1,318.26 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,318.26 | $2,398.83 |
Well Sense Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $489.78 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $724.44 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $144.54 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $676.08 | $758.58 | $758.58 |
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· 18th of 51
$1,514
AK $3,890TX $490
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.