How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,096 to $15,488Professionalmedian $1,202 · 10th to 90th $661 to $1,778
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 $758.58 Median $1,071.52 Typical High $1,071.52 | Professional | None | $758.58 | $1,071.52 | $1,071.52 |
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 $691.83 Median $1,230.27 Typical High $1,698.24 | Professional | None | $691.83 | $1,230.27 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,819.70 Typical High $2,570.40 | Professional | 50 · Both sides | $1,000.00 | $1,819.70 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $416.87 Median $758.58 Typical High $1,071.52 | Professional | 62 · Two surgeons | $416.87 | $758.58 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $194.98 Typical High $269.15 | Professional | 80 · Assistant surgeon | $107.15 | $194.98 | $269.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $169.82 Typical High $239.88 | Professional | AS · PA/NP assist | $93.33 | $169.82 | $239.88 |
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 $1,000.00 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,148.15 | $1,737.80 |
ConnectiCare Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,258.93 | Professional | None | $812.83 | $1,047.13 | $1,258.93 |
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 $575.44 Median $1,071.52 Typical High $1,949.84 | Professional | None | $575.44 | $1,071.52 | $1,949.84 |
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 $380.19 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $380.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $151.36 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $562.34 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $112.20 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $75.86 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $524.81 | $758.58 | $758.58 |
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
$1,202
AK $3,020TX $363
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.