How much rates vary
Facilitymedian $6,310 · 10th to 90th $977 to $14,125Professionalmedian $1,862 · 10th to 90th $1,148 to $3,162
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 $1,258.93 Median $2,754.23 Typical High $2,754.23 | Professional | None | $1,258.93 | $2,754.23 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,122.02 | $1,862.09 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,754.23 Typical High $4,677.35 | Professional | 50 · Both sides | $1,659.59 | $2,754.23 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $1,174.90 Typical High $1,995.26 | Professional | 62 · Two surgeons | $707.95 | $1,174.90 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $295.12 Typical High $501.19 | Professional | 80 · Assistant surgeon | $177.83 | $295.12 | $501.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $257.04 Typical High $436.52 | Professional | AS · PA/NP assist | $154.88 | $257.04 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $7,762.47 | Facility | None | $1,000.00 | $6,165.95 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,584.89 | $1,862.09 | $2,754.23 |
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 $2,089.30 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,238.72 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $3,162.28 | Professional | None | $1,071.52 | $1,548.82 | $3,162.28 |
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 $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $645.65 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $257.04 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $954.99 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $194.98 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $128.82 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,905.46 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $891.25 | $1,905.46 | $1,905.46 |
Where Connecticut sits
The same service costs 6.8 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 $4,786TX $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.