How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,148 to $13,490Professionalmedian $2,399 · 10th to 90th $1,380 to $3,715
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 $1,584.89 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,584.89 | $2,238.72 | $2,238.72 |
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 $1,412.54 Median $2,630.27 Typical High $3,548.13 | Professional | None | $1,412.54 | $2,630.27 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $3,981.07 Typical High $5,370.32 | Professional | 50 · Both sides | $2,137.96 | $3,981.07 | $5,370.32 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,659.59 Typical High $2,238.72 | Professional | 62 · Two surgeons | $891.25 | $1,659.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $416.87 Typical High $575.44 | Professional | 80 · Assistant surgeon | $223.87 | $416.87 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $371.54 Typical High $501.19 | Professional | AS · PA/NP assist | $199.53 | $371.54 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,388.44 Typical High $4,265.80 | Facility | None | $851.14 | $3,388.44 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,412.54 | $1,905.46 | $3,548.13 |
ConnectiCare Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,819.70 | $2,511.89 |
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 $1,071.52 Median $2,137.96 Typical High $4,168.69 | Professional | None | $1,071.52 | $2,137.96 | $4,168.69 |
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 $794.33 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $794.33 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $316.23 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,202.26 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $239.88 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $158.49 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,548.82 | $1,548.82 |
Where Connecticut sits
The same service costs 8.5 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· 12th of 51
$2,399
AK $6,166TX $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.