How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,148 to $19,498Professionalmedian $1,259 · 10th to 90th $759 to $1,950
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 $812.83 Median $1,174.90 Typical High $1,174.90 | Professional | None | $812.83 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $17,378.01 Typical High $25,703.96 | Facility | None | $6,309.57 | $17,378.01 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,445.44 Typical High $1,905.46 | Professional | None | $758.58 | $1,445.44 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $2,089.30 Typical High $2,818.38 | Professional | 50 · Both sides | $1,122.02 | $2,089.30 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $870.96 Typical High $1,174.90 | Professional | 62 · Two surgeons | $478.63 | $870.96 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $223.87 Typical High $302.00 | Professional | 80 · Assistant surgeon | $120.23 | $223.87 | $302.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $194.98 Typical High $263.03 | Professional | AS · PA/NP assist | $104.71 | $194.98 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $10,471.29 Typical High $13,182.57 | Facility | None | $1,000.00 | $10,471.29 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,258.93 | $1,819.70 |
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 $870.96 Median $1,174.90 Typical High $1,380.38 | Professional | None | $870.96 | $1,174.90 | $1,380.38 |
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 $616.60 Median $1,148.15 Typical High $2,089.30 | Professional | None | $616.60 | $1,148.15 | $2,089.30 |
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 $407.38 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $407.38 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $162.18 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $602.56 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $120.23 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $81.28 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $562.34 | $831.76 | $831.76 |
Where Connecticut sits
The same service costs 5.9 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $14,644MT $2,489
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.