How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,000 to $21,878Professionalmedian $2,291 · 10th to 90th $1,318 to $3,631
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 $1,548.82 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,548.82 | $2,238.72 | $2,238.72 |
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 $1,348.96 Median $2,570.40 Typical High $3,467.37 | Professional | None | $1,348.96 | $2,570.40 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $3,801.89 Typical High $5,128.61 | Professional | 50 · Both sides | $2,041.74 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,584.89 Typical High $2,137.96 | Professional | 62 · Two surgeons | $851.14 | $1,584.89 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $407.38 Typical High $549.54 | Professional | 80 · Assistant surgeon | $213.80 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $354.81 Typical High $478.63 | Professional | AS · PA/NP assist | $190.55 | $354.81 | $478.63 |
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 $1,584.89 Median $1,905.46 Typical High $3,388.44 | Professional | None | $1,584.89 | $1,905.46 | $3,388.44 |
ConnectiCare Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,584.89 | $1,737.80 | $2,454.71 |
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 $1,047.13 Median $2,041.74 Typical High $3,981.07 | Professional | None | $1,047.13 | $2,041.74 | $3,981.07 |
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 $758.58 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $758.58 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $309.03 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,148.15 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $229.09 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $154.88 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,548.82 | $1,548.82 |
Where Connecticut sits
The same service costs 8.9 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· 15th of 51
$2,291
AK $6,026TX $676
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.