How much rates vary
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 $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 $1,995.26 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,995.26 | $2,089.30 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $7,762.47 Typical High $13,182.57 | Facility | None | $3,801.89 | $7,762.47 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $5,248.07 | Professional | None | $2,398.83 | $3,981.07 | $5,248.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $2,344.23 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,412.54 | $2,344.23 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $363.08 Median $602.56 Typical High $812.83 | Professional | 80 · Assistant surgeon | $363.08 | $602.56 | $812.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $524.81 Typical High $707.95 | Professional | AS · PA/NP assist | $316.23 | $524.81 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $2,691.53 | Facility | None | $489.78 | $630.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $4,073.80 Typical High $5,623.41 | Professional | None | $2,454.71 | $4,073.80 | $5,623.41 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $2,884.03 | Facility | None | $776.25 | $851.14 | $2,884.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $5,754.40 | Professional | None | $2,290.87 | $3,090.30 | $5,754.40 |
United Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $2,884.03 | Facility | None | $776.25 | $933.25 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $5,754.40 | Professional | None | $2,344.23 | $3,090.30 | $5,754.40 |
1 more rate 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 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,479.11 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,479.11 | $1,737.80 |
Where New Hampshire sits
The same service costs 21.9 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· 12th of 51
$3,548
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.