How much rates vary
Facilitymedian $22,387 · 10th to 90th $4,365 to $33,113Professionalmedian $2,188 · 10th to 90th $1,230 to $3,631
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 $5,623.41 Median $9,549.93 Typical High $27,542.29 | Facility | None | $5,623.41 | $9,549.93 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,412.54 | $2,041.74 | $3,801.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,332.54 Median $27,542.29 Typical High $37,153.52 | Facility | None | $9,332.54 | $27,542.29 | $37,153.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $2,290.87 Typical High $3,467.37 | Professional | None | $1,258.93 | $2,290.87 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $3,388.44 Typical High $5,248.07 | Professional | 50 · Both sides | $1,862.09 | $3,388.44 | $5,248.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,445.44 Typical High $2,187.76 | Professional | 62 · Two surgeons | $794.33 | $1,445.44 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $363.08 Typical High $562.34 | Professional | 80 · Assistant surgeon | $199.53 | $363.08 | $562.34 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $316.23 Typical High $489.78 | Professional | AS · PA/NP assist | $173.78 | $316.23 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $19,952.62 Typical High $25,703.96 | Facility | None | $1,000.00 | $19,952.62 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,089.30 | $2,511.89 | $3,090.30 |
ConnectiCare Setting Facility Modifier None Typical Low $15,135.61 Median $25,118.86 Typical High $25,703.96 | Facility | None | $15,135.61 | $25,118.86 | $25,703.96 |
ConnectiCare Setting Professional Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $4,168.69 | Professional | None | $2,238.72 | $3,388.44 | $4,168.69 |
Health New England Setting Facility Modifier None Typical Low $10,471.29 Median $11,748.98 Typical High $28,183.83 | Facility | None | $10,471.29 | $11,748.98 | $28,183.83 |
Health New England Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $2,818.38 | Professional | None | $309.03 | $371.54 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $15,848.93 Typical High $30,902.95 | Facility | None | $1,348.96 | $15,848.93 | $30,902.95 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $3,890.45 | Professional | None | $1,071.52 | $2,089.30 | $3,890.45 |
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 $707.95 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $707.95 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $281.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,047.13 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $208.93 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $141.25 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $977.24 | $1,412.54 | $1,412.54 |
Where Connecticut sits
The same service costs 7.7 times more in Alaska than in Kentucky. 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 $28,157KY $3,652
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.