How much rates vary
Facilitymedian $6,166 · 10th to 90th $977 to $12,303Professionalmedian $1,820 · 10th to 90th $1,023 to $2,754
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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,621.81 | $1,621.81 |
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 $1,047.13 Median $1,995.26 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,995.26 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,951.21 Typical High $3,981.07 | Professional | 50 · Both sides | $1,548.82 | $2,951.21 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $1,230.27 Typical High $1,659.59 | Professional | 62 · Two surgeons | $645.65 | $1,230.27 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $302.00 Typical High $426.58 | Professional | 80 · Assistant surgeon | $165.96 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $275.42 Typical High $371.54 | Professional | AS · PA/NP assist | $144.54 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $4,466.84 Typical High $5,495.41 | Facility | None | $1,000.00 | $4,466.84 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,737.80 | $1,949.84 | $2,630.27 |
ConnectiCare Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,023.29 | Facility | None | $630.96 | $851.14 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,621.81 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,737.80 Typical High $3,019.95 | Professional | None | $870.96 | $1,737.80 | $3,019.95 |
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 $575.44 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $575.44 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $234.42 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $870.96 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $173.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $117.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $812.83 | $1,148.15 | $1,148.15 |
Where Connecticut sits
The same service costs 19.5 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· 11th of 51
$1,950
AK $4,571TX $234
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.