How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,122 to $6,166Professionalmedian $2,089 · 10th to 90th $1,413 to $3,890
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 $1,412.54 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,412.54 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,309.57 | Facility | None | $3,467.37 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,621.81 | $2,691.53 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,630.27 Median $3,981.07 Typical High $5,754.40 | Professional | 50 · Both sides | $2,630.27 | $3,981.07 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,698.24 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,096.48 | $1,698.24 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $426.58 Typical High $616.60 | Professional | 80 · Assistant surgeon | $281.84 | $426.58 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $371.54 Typical High $537.03 | Professional | AS · PA/NP assist | $245.47 | $371.54 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,398.83 Typical High $3,019.95 | Facility | None | $660.69 | $2,398.83 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $4,265.80 | Professional | None | $1,548.82 | $2,089.30 | $4,265.80 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $3,090.30 | Facility | None | $1,174.90 | $1,288.25 | $3,090.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,089.30 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $3,090.30 | Facility | None | $1,122.02 | $1,258.93 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,148.15 | $1,819.70 | $3,311.31 |
Well Sense Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
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 $691.83 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $691.83 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,047.13 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $208.93 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $977.24 | $1,047.13 | $1,047.13 |
Where New Hampshire sits
The same service costs 3.7 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $8,917DE $2,410
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.