How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,096 to $26,915Professionalmedian $2,089 · 10th to 90th $1,148 to $3,090
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 $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $24,547.09 Typical High $31,622.78 | Facility | None | $3,715.35 | $24,547.09 | $31,622.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,148.15 | $2,187.76 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $3,235.94 Typical High $4,466.84 | Professional | 50 · Both sides | $1,659.59 | $3,235.94 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $1,380.38 Typical High $1,905.46 | Professional | 62 · Two surgeons | $707.95 | $1,380.38 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $346.74 Typical High $478.63 | Professional | 80 · Assistant surgeon | $177.83 | $346.74 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $302.00 Typical High $416.87 | Professional | AS · PA/NP assist | $154.88 | $302.00 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $18,197.01 Typical High $22,387.21 | Facility | None | $1,000.00 | $18,197.01 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,778.28 | $1,995.26 | $3,019.95 |
ConnectiCare Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,023.29 | Facility | None | $630.96 | $851.14 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,137.96 | Professional | None | $1,445.44 | $1,862.09 | $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 $1,000.00 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,000.00 | $1,862.09 | $3,467.37 |
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 $645.65 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $645.65 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $257.04 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $977.24 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $194.98 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $128.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $912.01 | $1,348.96 | $1,348.96 |
Where Connecticut sits
The same service costs 7.4 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· 15th of 51
$2,089
AK $5,248TX $708
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.