How much rates vary
Facilitymedian $6,457 · 10th to 90th $2,692 to $19,953Professionalmedian $1,950 · 10th to 90th $1,380 to $3,548
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 $3,388.44 Typical High $14,791.08 | Facility | None | $2,398.83 | $3,388.44 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,412.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,332.54 Median $10,471.29 Typical High $19,952.62 | Facility | None | $9,332.54 | $10,471.29 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $3,548.13 | Professional | None | $1,479.11 | $2,511.89 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,454.71 Median $3,715.35 Typical High $5,248.07 | Professional | 50 · Both sides | $2,454.71 | $3,715.35 | $5,248.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,584.89 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,023.29 | $1,584.89 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $398.11 Typical High $562.34 | Professional | 80 · Assistant surgeon | $263.03 | $398.11 | $562.34 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $346.74 Typical High $489.78 | Professional | AS · PA/NP assist | $229.09 | $346.74 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $15,488.17 Typical High $21,379.62 | Facility | None | $812.83 | $15,488.17 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $3,890.45 | Professional | None | $1,584.89 | $1,949.84 | $3,890.45 |
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 $1,318.26 Median $1,949.84 Typical High $3,890.45 | Professional | None | $1,318.26 | $1,949.84 | $3,890.45 |
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 $1,445.44 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,445.44 | $1,778.28 | $3,235.94 |
Well Sense Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
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 $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $645.65 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $257.04 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $977.24 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $194.98 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $128.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $912.01 | $1,000.00 | $1,000.00 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$2,042
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.