How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,692 to $10,471Professionalmedian $1,820 · 10th to 90th $1,288 to $3,311
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,398.83 Median $3,890.45 Typical High $15,848.93 | Facility | None | $2,398.83 | $3,890.45 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,412.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,309.57 | Facility | None | $3,467.37 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,344.23 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $3,467.37 Typical High $5,011.87 | Professional | 50 · Both sides | $2,290.87 | $3,467.37 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $954.99 Median $1,479.11 Typical High $2,089.30 | Professional | 62 · Two surgeons | $954.99 | $1,479.11 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $371.54 Typical High $524.81 | Professional | 80 · Assistant surgeon | $245.47 | $371.54 | $524.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $323.59 Typical High $467.74 | Professional | AS · PA/NP assist | $213.80 | $323.59 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $9,120.11 Typical High $11,481.54 | Facility | None | $630.96 | $9,120.11 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,513.56 | $1,819.70 | $3,715.35 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $8,511.38 | Facility | None | $2,691.53 | $3,890.45 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $3,162.28 | Professional | None | $1,230.27 | $1,819.70 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $8,511.38 | Facility | None | $2,691.53 | $4,786.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,380.38 | $1,698.24 | $3,019.95 |
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 $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $616.60 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $933.25 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $186.21 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $870.96 | $977.24 | $977.24 |
Where New Hampshire 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.
New Hampshire· 18th 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.