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 $1,819.70 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,819.70 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $141.25 | Professional | None | $112.20 | $120.23 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $275.42 | Professional | None | $125.89 | $204.17 | $275.42 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $75.86 Median $123.03 Typical High $165.96 | Professional | 62 · Two surgeons | $75.86 | $123.03 | $165.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $31.62 Typical High $41.69 | Professional | 80 · Assistant surgeon | $19.50 | $31.62 | $41.69 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $27.54 Typical High $37.15 | Professional | AS · PA/NP assist | $16.98 | $27.54 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $2,691.53 | Facility | None | $489.78 | $549.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $316.23 | Professional | None | $147.91 | $213.80 | $316.23 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $3,090.30 | Facility | None | $1,174.90 | $1,288.25 | $3,090.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $323.59 | Professional | None | $117.49 | $165.96 | $323.59 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $3,090.30 | Facility | None | $1,122.02 | $1,258.93 | $3,090.30 |
United Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $323.59 | Professional | None | $125.89 | $165.96 | $323.59 |
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 54 · Surgery only Typical Low $85.11 Median $91.20 Typical High $102.33 | Professional | 54 · Surgery only | $85.11 | $91.20 | $102.33 |
Where New Hampshire sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 16th of 51
$186
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.