How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,585 to $4,467Professionalmedian $1,820 · 10th to 90th $1,096 to $2,884
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 $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,096.48 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $3,890.45 | Facility | None | $1,513.56 | $1,737.80 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,949.84 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $1,174.90 Typical High $1,584.89 | Professional | 62 · Two surgeons | $660.69 | $1,174.90 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $295.12 Typical High $398.11 | Professional | 80 · Assistant surgeon | $169.82 | $295.12 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $263.03 Typical High $354.81 | Professional | AS · PA/NP assist | $147.91 | $263.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,511.89 Typical High $3,467.37 | Facility | None | $575.44 | $2,511.89 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,122.02 | $2,041.74 | $2,884.03 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $4,677.35 | Facility | None | $2,187.76 | $2,511.89 | $4,677.35 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,584.89 | $3,019.95 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,677.35 | Facility | None | $2,187.76 | $3,162.28 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,122.02 | $1,513.56 | $3,019.95 |
Well Sense Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
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 $537.03 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $537.03 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | 53 · Discontinued | $218.78 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $933.25 | Professional | 54 · Surgery only | $812.83 | $812.83 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $165.96 Typical High $186.21 | Professional | 55 · Aftercare only | $162.18 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $109.65 Typical High $125.89 | Professional | 56 · Pre-op care only | $107.15 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $870.96 |
Where New Hampshire sits
The same service costs 5.2 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
$1,820
AK $3,981TX $759
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.