How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,096 to $18,621Professionalmedian $1,445 · 10th to 90th $832 to $2,239
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 $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $1,348.96 | Professional | None | $912.01 | $1,348.96 | $1,348.96 |
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 $851.14 Median $1,584.89 Typical High $2,187.76 | Professional | None | $851.14 | $1,584.89 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,230.27 Median $2,344.23 Typical High $3,235.94 | Professional | 50 · Both sides | $1,230.27 | $2,344.23 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $512.86 Median $1,000.00 Typical High $1,348.96 | Professional | 62 · Two surgeons | $512.86 | $1,000.00 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $251.19 Typical High $346.74 | Professional | 80 · Assistant surgeon | $131.83 | $251.19 | $346.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $218.78 Typical High $302.00 | Professional | AS · PA/NP assist | $114.82 | $218.78 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $10,715.19 Typical High $13,182.57 | Facility | None | $1,000.00 | $10,715.19 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,445.44 | $2,137.96 |
ConnectiCare Setting Facility Modifier None Typical Low $954.99 Median $11,220.18 Typical High $11,481.54 | Facility | None | $954.99 | $11,220.18 | $11,481.54 |
ConnectiCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,348.96 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,748.98 | Facility | None | $1,000.00 | $6,165.95 | $11,748.98 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $2,398.83 | Professional | None | $707.95 | $1,318.26 | $2,398.83 |
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 $457.09 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $457.09 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $181.97 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $676.08 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $138.04 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $91.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $630.96 | $954.99 | $954.99 |
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· 19th of 51
$1,445
AK $3,715TX $468
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.