How much rates vary
Facilitymedian $4,786 · 10th to 90th $891 to $8,511Professionalmedian $1,820 · 10th to 90th $1,148 to $2,692
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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,819.70 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,737.80 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $1,047.13 Typical High $1,584.89 | Professional | 62 · Two surgeons | $691.83 | $1,047.13 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $269.15 Typical High $407.38 | Professional | 80 · Assistant surgeon | $173.78 | $269.15 | $407.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $234.42 Typical High $354.81 | Professional | AS · PA/NP assist | $154.88 | $234.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $4,677.35 Typical High $5,888.44 | Facility | None | $851.14 | $4,677.35 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,905.46 | $2,570.40 |
ConnectiCare Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,041.74 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $3,548.13 | Professional | None | $1,230.27 | $1,659.59 | $3,548.13 |
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 $575.44 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $575.44 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $229.09 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $851.14 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $169.82 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $114.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $794.33 | $1,258.93 | $1,258.93 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $10,675KY $2,405
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.