How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,072 to $22,909Professionalmedian $1,622 · 10th to 90th $933 to $2,512
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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $16,595.87 Typical High $28,183.83 | Facility | None | $3,715.35 | $16,595.87 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,778.28 Typical High $2,398.83 | Professional | None | $954.99 | $1,778.28 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $2,691.53 Typical High $3,630.78 | Professional | 50 · Both sides | $1,380.38 | $2,691.53 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $1,122.02 Typical High $1,513.56 | Professional | 62 · Two surgeons | $588.84 | $1,122.02 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $281.84 Typical High $389.05 | Professional | 80 · Assistant surgeon | $147.91 | $281.84 | $389.05 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $251.19 Typical High $338.84 | Professional | AS · PA/NP assist | $128.82 | $251.19 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $18,620.87 Typical High $22,908.68 | Facility | None | $851.14 | $18,620.87 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,513.56 | $1,621.81 | $2,398.83 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,479.11 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,479.11 Typical High $2,754.23 | Professional | None | $794.33 | $1,479.11 | $2,754.23 |
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 $524.81 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $524.81 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $208.93 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $776.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $158.49 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $104.71 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $724.44 | $1,071.52 | $1,071.52 |
Where Connecticut sits
The same service costs 7.2 times more in Alaska than in Hawaii. 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.
Physician feeFacility fee
AK $19,657HI $2,734
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.