How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,188 to $6,310Professionalmedian $1,023 · 10th to 90th $603 to $1,585
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 $588.84 Median $602.56 Typical High $724.44 | Professional | None | $588.84 | $602.56 | $724.44 |
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 $602.56 Median $1,122.02 Typical High $1,445.44 | Professional | None | $602.56 | $1,122.02 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,548.82 Typical High $2,089.30 | Professional | 50 · Both sides | $870.96 | $1,548.82 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $371.54 Median $660.69 Typical High $891.25 | Professional | 62 · Two surgeons | $371.54 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $165.96 Typical High $223.87 | Professional | 80 · Assistant surgeon | $93.33 | $165.96 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $144.54 Typical High $194.98 | Professional | AS · PA/NP assist | $81.28 | $144.54 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,311.31 Typical High $4,897.79 | Facility | None | $1,698.24 | $3,311.31 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,584.89 | Professional | None | $676.08 | $1,122.02 | $1,584.89 |
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 $645.65 Median $891.25 Typical High $1,659.59 | Professional | None | $645.65 | $891.25 | $1,659.59 |
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 $630.96 Median $831.76 Typical High $1,659.59 | Professional | None | $630.96 | $831.76 | $1,659.59 |
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 $295.12 Median $302.00 Typical High $338.84 | Professional | 52 · Reduced service | $295.12 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $134.90 | Professional | 53 · Discontinued | $117.49 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $457.09 Typical High $512.86 | Professional | 54 · Surgery only | $436.52 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $91.20 Typical High $102.33 | Professional | 55 · Aftercare only | $87.10 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $60.26 Typical High $67.61 | Professional | 56 · Pre-op care only | $58.88 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $426.58 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $407.38 | $426.58 | $478.63 |
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 $2,455TX $417
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.