How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,175 to $22,909Professionalmedian $1,905 · 10th to 90th $1,096 to $2,951
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 $8,511.38 Typical High $14,125.38 | Facility | None | $4,570.88 | $8,511.38 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,819.70 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $17,378.01 Typical High $25,703.96 | Facility | None | $3,715.35 | $17,378.01 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $2,818.38 | Professional | None | $1,122.02 | $2,137.96 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $3,162.28 Typical High $4,265.80 | Professional | 50 · Both sides | $1,659.59 | $3,162.28 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $1,318.26 Typical High $1,778.28 | Professional | 62 · Two surgeons | $691.83 | $1,318.26 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $338.84 Typical High $457.09 | Professional | 80 · Assistant surgeon | $173.78 | $338.84 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $295.12 Typical High $398.11 | Professional | AS · PA/NP assist | $154.88 | $295.12 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $19,498.45 Typical High $23,988.33 | Facility | None | $851.14 | $19,498.45 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,659.59 | $1,905.46 | $2,818.38 |
ConnectiCare Setting Facility Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | None | $13,489.63 | $13,489.63 | $13,489.63 |
ConnectiCare Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,737.80 | $2,089.30 |
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 $933.25 Median $1,737.80 Typical High $3,235.94 | Professional | None | $933.25 | $1,737.80 | $3,235.94 |
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 $616.60 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $616.60 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $245.47 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $933.25 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $186.21 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $123.03 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $870.96 | $1,258.93 | $1,258.93 |
Where Connecticut sits
The same service costs 5.7 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.
Physician feeFacility fee
AK $16,118TX $2,821
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.