How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,122 to $13,490Professionalmedian $1,950 · 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 $1,258.93 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,258.93 | $1,778.28 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,489.63 | Facility | None | $933.25 | $11,748.98 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,122.02 | $2,137.96 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $3,162.28 Typical High $4,365.16 | Professional | 50 · Both sides | $1,659.59 | $3,162.28 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $1,348.96 Typical High $1,819.70 | Professional | 62 · Two surgeons | $707.95 | $1,348.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $338.84 Typical High $467.74 | Professional | 80 · Assistant surgeon | $177.83 | $338.84 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $295.12 Typical High $407.38 | Professional | AS · PA/NP assist | $154.88 | $295.12 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $9,772.37 Typical High $12,302.69 | Facility | None | $851.14 | $9,772.37 | $12,302.69 |
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 Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,348.96 | $1,737.80 | $2,137.96 |
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 $954.99 Median $1,778.28 Typical High $3,311.31 | Professional | None | $954.99 | $1,778.28 | $3,311.31 |
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 $251.19 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $251.19 | $354.81 | $354.81 |
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 $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 $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 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· 17th of 51
$1,950
AK $5,012TX $575
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.