How much rates vary
Facilitymedian $5,495 · 10th to 90th $2,344 to $15,488Professionalmedian $1,445 · 10th to 90th $1,000 to $2,512
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,398.83 Median $2,754.23 Typical High $11,481.54 | Facility | None | $2,398.83 | $2,754.23 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | None | $933.25 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,332.54 Median $10,471.29 Typical High $19,952.62 | Facility | None | $9,332.54 | $10,471.29 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,778.28 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $2,630.27 Typical High $3,715.35 | Professional | 50 · Both sides | $1,737.80 | $2,630.27 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $281.84 Typical High $398.11 | Professional | 80 · Assistant surgeon | $186.21 | $281.84 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $245.47 Typical High $346.74 | Professional | AS · PA/NP assist | $162.18 | $245.47 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $12,022.64 Typical High $16,218.10 | Facility | None | $660.69 | $12,022.64 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,148.15 | $1,380.38 | $2,754.23 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,344.23 Median $3,467.37 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,467.37 | $6,918.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,691.53 | Professional | None | $933.25 | $1,445.44 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,548.13 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,479.11 | $2,290.87 |
Well Sense Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
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 $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $467.74 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $93.33 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $660.69 | $758.58 | $758.58 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$1,514
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.