How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,096 to $21,878Professionalmedian $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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $21,877.62 Typical High $25,703.96 | Facility | None | $1,548.82 | $21,877.62 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,819.70 Typical High $2,454.71 | Professional | None | $954.99 | $1,819.70 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $2,691.53 Typical High $3,630.78 | Professional | 50 · Both sides | $1,412.54 | $2,691.53 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $1,122.02 Typical High $1,548.82 | Professional | 62 · Two surgeons | $588.84 | $1,122.02 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $288.40 Typical High $389.05 | Professional | 80 · Assistant surgeon | $154.88 | $288.40 | $389.05 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $251.19 Typical High $338.84 | Professional | AS · PA/NP assist | $131.83 | $251.19 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $7,585.78 Typical High $9,332.54 | Facility | None | $1,000.00 | $7,585.78 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,479.11 | $1,659.59 | $2,398.83 |
ConnectiCare Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,023.29 | Facility | None | $630.96 | $851.14 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,513.56 | $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 $213.80 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $213.80 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $794.33 | $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 $107.15 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $107.15 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $741.31 | $1,071.52 | $1,071.52 |
Where Connecticut 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.
Connecticut· 20th of 51
$1,622
AK $4,169TX $525
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.