How much rates vary
Facilitymedian $4,786 · 10th to 90th $759 to $11,749Professionalmedian $708 · 10th to 90th $372 to $1,047
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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $616.60 | Professional | None | $426.58 | $616.60 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,128.31 Typical High $13,489.63 | Facility | None | $4,786.30 | $8,128.31 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $724.44 Typical High $1,000.00 | Professional | None | $371.54 | $724.44 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $1,071.52 Typical High $1,513.56 | Professional | 50 · Both sides | $562.34 | $1,071.52 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $234.42 Median $446.68 Typical High $630.96 | Professional | 62 · Two surgeons | $234.42 | $446.68 | $630.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $114.82 Typical High $158.49 | Professional | 80 · Assistant surgeon | $60.26 | $114.82 | $158.49 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $100.00 Typical High $141.25 | Professional | AS · PA/NP assist | $52.48 | $100.00 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,388.44 Typical High $4,168.69 | Facility | None | $549.54 | $3,388.44 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $1,000.00 | Professional | None | $575.44 | $660.69 | $1,000.00 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $707.95 | Professional | None | $489.78 | $602.56 | $707.95 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $1,148.15 | Professional | None | $323.59 | $602.56 | $1,148.15 |
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 $213.80 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $213.80 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $85.11 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $323.59 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $64.57 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $42.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $302.00 | $436.52 | $436.52 |
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· 14th of 51
$708
AK $1,738TX $209
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.