How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,047 to $12,882Professionalmedian $1,862 · 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 $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 $1,230.27 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,778.28 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $11,748.98 Typical High $13,803.84 | Facility | None | $2,754.23 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,096.48 | $2,089.30 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $3,090.30 Typical High $4,168.69 | Professional | 50 · Both sides | $1,621.81 | $3,090.30 | $4,168.69 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $1,318.26 Typical High $1,737.80 | Professional | 62 · Two surgeons | $691.83 | $1,318.26 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $331.13 Typical High $436.52 | Professional | 80 · Assistant surgeon | $173.78 | $331.13 | $436.52 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $288.40 Typical High $389.05 | Professional | AS · PA/NP assist | $151.36 | $288.40 | $389.05 |
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 $1,778.28 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,778.28 | $1,949.84 | $2,754.23 |
ConnectiCare Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,348.96 | $1,949.84 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,778.28 Typical High $3,235.94 | Professional | None | $933.25 | $1,778.28 | $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 $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $616.60 | $891.25 | $891.25 |
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 $912.01 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $912.01 | $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 $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $123.03 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $851.14 | $1,258.93 | $1,258.93 |
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· 18th of 51
$1,862
AK $4,786TX $550
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.