How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,047 to $21,878Professionalmedian $1,479 · 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 $4,365.16 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 $933.25 Median $1,380.38 Typical High $1,380.38 | Professional | None | $933.25 | $1,380.38 | $1,380.38 |
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 $812.83 Median $1,548.82 Typical High $2,137.96 | Professional | None | $812.83 | $1,548.82 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,230.27 Median $2,290.87 Typical High $3,235.94 | Professional | 50 · Both sides | $1,230.27 | $2,290.87 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $245.47 Typical High $346.74 | Professional | 80 · Assistant surgeon | $131.83 | $245.47 | $346.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $213.80 Typical High $302.00 | Professional | AS · PA/NP assist | $114.82 | $213.80 | $302.00 |
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 $1,412.54 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,698.24 | $2,187.76 |
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 $870.96 Median $1,348.96 Typical High $1,778.28 | Professional | None | $870.96 | $1,348.96 | $1,778.28 |
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 $707.95 Median $1,412.54 Typical High $2,454.71 | Professional | None | $707.95 | $1,412.54 | $2,454.71 |
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 $467.74 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $467.74 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $190.55 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $707.95 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $141.25 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $93.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $660.69 | $954.99 | $954.99 |
Where Connecticut sits
The same service costs 14.5 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· 12th of 51
$1,585
AK $3,715TX $257
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.