How much rates vary
Facilitymedian $3,311 · 10th to 90th $2,188 to $6,310Professionalmedian $1,023 · 10th to 90th $617 to $1,514
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 $3,388.44 Typical High $14,791.08 | Facility | None | $2,398.83 | $3,388.44 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $741.31 | Professional | None | $549.54 | $616.60 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,309.57 | Facility | None | $3,467.37 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,479.11 | Professional | None | $660.69 | $1,096.48 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,584.89 Typical High $2,137.96 | Professional | 50 · Both sides | $933.25 | $1,584.89 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $660.69 Typical High $891.25 | Professional | 62 · Two surgeons | $389.05 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $169.82 Typical High $229.09 | Professional | 80 · Assistant surgeon | $100.00 | $169.82 | $229.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $147.91 Typical High $199.53 | Professional | AS · PA/NP assist | $87.10 | $147.91 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,311.31 Typical High $4,168.69 | Facility | None | $812.83 | $3,311.31 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,621.81 | Professional | None | $691.83 | $1,148.15 | $1,621.81 |
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 $660.69 Median $891.25 Typical High $1,698.24 | Professional | None | $660.69 | $891.25 | $1,698.24 |
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 $645.65 Median $851.14 Typical High $1,479.11 | Professional | None | $645.65 | $851.14 | $1,479.11 |
Well Sense Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $275.42 Median $309.03 Typical High $363.08 | Professional | 52 · Reduced service | $275.42 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $123.03 Typical High $144.54 | Professional | 53 · Discontinued | $109.65 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $467.74 Typical High $549.54 | Professional | 54 · Surgery only | $407.38 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $93.33 Typical High $109.65 | Professional | 55 · Aftercare only | $81.28 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $61.66 Typical High $72.44 | Professional | 56 · Pre-op care only | $54.95 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $436.52 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $380.19 | $436.52 | $512.86 |
Where New Hampshire sits
The same service costs 5.9 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· 13th of 51
$1,023
AK $2,512TX $427
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.