How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,096 to $15,488Professionalmedian $1,778 · 10th to 90th $1,023 to $2,754
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 $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,659.59 | $1,659.59 |
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 $1,023.29 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,023.29 | $2,041.74 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,951.21 Typical High $3,981.07 | Professional | 50 · Both sides | $1,548.82 | $2,951.21 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $1,318.26 Typical High $1,698.24 | Professional | 62 · Two surgeons | $660.69 | $1,318.26 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $309.03 Typical High $426.58 | Professional | 80 · Assistant surgeon | $165.96 | $309.03 | $426.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $275.42 Typical High $371.54 | Professional | AS · PA/NP assist | $144.54 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $13,803.84 Typical High $17,378.01 | Facility | None | $851.14 | $13,803.84 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,698.24 | $2,630.27 |
ConnectiCare Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,584.89 | $1,905.46 |
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 $870.96 Median $1,621.81 Typical High $3,019.95 | Professional | None | $870.96 | $1,621.81 | $3,019.95 |
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 $575.44 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $575.44 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $234.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $870.96 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $173.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $117.49 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $812.83 | $1,148.15 | $1,148.15 |
Where Connecticut sits
The same service costs 8.3 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· 16th of 51
$1,778
AK $4,571TX $550
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.