How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,692 to $13,183Professionalmedian $1,660 · 10th to 90th $1,175 to $3,020
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 $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,309.57 | Facility | None | $3,467.37 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,412.54 | $2,137.96 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,089.30 Median $3,235.94 Typical High $4,570.88 | Professional | 50 · Both sides | $2,089.30 | $3,235.94 | $4,570.88 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,348.96 Typical High $1,905.46 | Professional | 62 · Two surgeons | $891.25 | $1,348.96 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $338.84 Typical High $489.78 | Professional | 80 · Assistant surgeon | $223.87 | $338.84 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $302.00 Typical High $426.58 | Professional | AS · PA/NP assist | $194.98 | $302.00 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $12,882.50 Typical High $16,218.10 | Facility | None | $630.96 | $12,882.50 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,412.54 | $1,659.59 | $3,388.44 |
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 $1,148.15 Median $1,659.59 Typical High $2,884.03 | Professional | None | $1,148.15 | $1,659.59 | $2,884.03 |
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 $1,258.93 Median $1,548.82 Typical High $2,754.23 | Professional | None | $1,258.93 | $1,548.82 | $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 $575.44 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $575.44 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $870.96 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $891.25 |
Where New Hampshire 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.
New Hampshire· 18th 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.