How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,122 to $13,490Professionalmedian $2,291 · 10th to 90th $1,349 to $3,715
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 $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,479.11 | $2,187.76 | $2,187.76 |
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 $1,348.96 Median $2,570.40 Typical High $3,388.44 | Professional | None | $1,348.96 | $2,570.40 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,995.26 Median $3,801.89 Typical High $5,128.61 | Professional | 50 · Both sides | $1,995.26 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,621.81 Typical High $2,137.96 | Professional | 62 · Two surgeons | $851.14 | $1,621.81 | $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 $186.21 Median $354.81 Typical High $478.63 | Professional | AS · PA/NP assist | $186.21 | $354.81 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $9,549.93 Typical High $12,022.64 | Facility | None | $851.14 | $9,549.93 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,344.23 | $3,467.37 |
ConnectiCare Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,584.89 | $2,089.30 | $2,570.40 |
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 $1,148.15 Median $2,137.96 Typical High $4,168.69 | Professional | None | $1,148.15 | $2,137.96 | $4,168.69 |
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 $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $758.58 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $302.00 | $436.52 | $436.52 |
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 $151.36 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $151.36 | $218.78 | $218.78 |
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 8.7 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· 19th of 51
$2,291
AK $5,888TX $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.