How much rates vary
Facilitymedian $6,310 · 10th to 90th $851 to $11,749Professionalmedian $933 · 10th to 90th $501 to $1,380
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 $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $831.76 | Professional | None | $562.34 | $831.76 | $831.76 |
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 $501.19 Median $1,000.00 Typical High $1,380.38 | Professional | None | $501.19 | $1,000.00 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,445.44 Typical High $2,041.74 | Professional | 50 · Both sides | $758.58 | $1,445.44 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $316.23 Median $616.60 Typical High $870.96 | Professional | 62 · Two surgeons | $316.23 | $616.60 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $154.88 Typical High $218.78 | Professional | 80 · Assistant surgeon | $79.43 | $154.88 | $218.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $134.90 Typical High $190.55 | Professional | AS · PA/NP assist | $70.79 | $134.90 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,585.78 Typical High $9,332.54 | Facility | None | $851.14 | $7,585.78 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,318.26 | Professional | None | $851.14 | $912.01 | $1,318.26 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $977.24 | Professional | None | $645.65 | $870.96 | $977.24 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $436.52 Median $812.83 Typical High $1,513.56 | Professional | None | $436.52 | $812.83 | $1,513.56 |
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 $281.84 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $281.84 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $114.82 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $426.58 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $85.11 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $56.23 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $398.11 | $588.84 | $588.84 |
Where Connecticut sits
The same service costs 7.6 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· 13th of 51
$933
AK $2,344TX $309
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.