How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,692 to $10,471Professionalmedian $2,344 · 10th to 90th $1,585 to $4,266
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 $3,890.45 Typical High $15,848.93 | Facility | None | $2,398.83 | $3,890.45 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,621.81 | $1,819.70 | $1,819.70 |
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 $1,949.84 Median $2,951.21 Typical High $4,265.80 | Professional | None | $1,949.84 | $2,951.21 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $4,466.84 Typical High $6,456.54 | Professional | 50 · Both sides | $2,884.03 | $4,466.84 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,862.09 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,230.27 | $1,862.09 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $467.74 Typical High $691.83 | Professional | 80 · Assistant surgeon | $309.03 | $467.74 | $691.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $416.87 Typical High $602.56 | Professional | AS · PA/NP assist | $269.15 | $416.87 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $8,912.51 Typical High $11,220.18 | Facility | None | $630.96 | $8,912.51 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,786.30 | Professional | None | $1,905.46 | $2,344.23 | $4,786.30 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $8,511.38 | Facility | None | $2,691.53 | $3,890.45 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $3,981.07 | Professional | None | $1,584.89 | $2,290.87 | $3,981.07 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $8,511.38 | Facility | None | $2,691.53 | $4,786.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,584.89 | $2,187.76 | $3,981.07 |
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 $812.83 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $812.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,230.27 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $245.47 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $162.18 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,258.93 | $1,258.93 |
Where New Hampshire sits
The same service costs 8.9 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
$2,455
AK $6,457TX $724
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.