How much rates vary
Facilitymedian $6,457 · 10th to 90th $2,692 to $33,884Professionalmedian $1,905 · 10th to 90th $1,349 to $3,467
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 $3,388.44 Typical High $14,791.08 | Facility | None | $2,398.83 | $3,388.44 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,288.25 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $29,512.09 Median $33,884.42 Typical High $52,480.75 | Facility | None | $29,512.09 | $33,884.42 | $52,480.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,398.83 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $3,630.78 Typical High $5,128.61 | Professional | 50 · Both sides | $2,398.83 | $3,630.78 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,513.56 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,000.00 | $1,513.56 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $389.05 Typical High $549.54 | Professional | 80 · Assistant surgeon | $251.19 | $389.05 | $549.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $338.84 Typical High $478.63 | Professional | AS · PA/NP assist | $223.87 | $338.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $16,982.44 Typical High $23,442.29 | Facility | None | $812.83 | $16,982.44 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,548.82 | $1,905.46 | $3,801.89 |
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 $1,288.25 Median $1,905.46 Typical High $3,715.35 | Professional | None | $1,288.25 | $1,905.46 | $3,715.35 |
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 $1,412.54 Median $1,737.80 Typical High $3,162.28 | Professional | None | $1,412.54 | $1,737.80 | $3,162.28 |
Well Sense Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
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 $645.65 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $645.65 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $257.04 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $954.99 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $190.55 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $891.25 | $1,000.00 | $1,000.00 |
Where New Hampshire sits
The same service costs 7.6 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· 15th of 51
$2,042
AK $5,129TX $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.