How much rates vary
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 $2,754.23 Typical High $11,481.54 | Facility | None | $2,398.83 | $2,754.23 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None | $416.87 | $416.87 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $10,000.00 Typical High $18,197.01 | Facility | None | $8,912.51 | $10,000.00 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | None | $630.96 | $630.96 | $645.65 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 62 · Two surgeons | $398.11 | $398.11 | $407.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | 80 · Assistant surgeon | $100.00 | $100.00 | $104.71 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | AS · PA/NP assist | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $12,302.69 | Facility | None | $1,698.24 | $8,912.51 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,202.26 Typical High $1,698.24 | Professional | None | $660.69 | $1,202.26 | $1,698.24 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,344.23 Median $3,467.37 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,467.37 | $6,918.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,548.82 | Professional | None | $537.03 | $741.31 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,548.13 | $6,918.31 |
United Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,659.59 | Professional | None | $478.63 | $691.83 | $1,659.59 |
Well Sense Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,365.16 | Facility | None | $3,630.78 | $3,630.78 | $4,365.16 |
2 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 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $288.40 |
Where New Hampshire sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 32nd of 51
$661
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.