How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,148 to $19,055Professionalmedian $776 · 10th to 90th $398 to $1,259
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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $933.25 | Professional | None | $588.84 | $933.25 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $17,782.79 Typical High $24,547.09 | Facility | None | $10,715.19 | $17,782.79 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,348.96 | Professional | None | $575.44 | $676.08 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,023.29 Typical High $1,995.26 | Professional | 50 · Both sides | $870.96 | $1,023.29 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $363.08 Median $426.58 Typical High $851.14 | Professional | 62 · Two surgeons | $363.08 | $426.58 | $851.14 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $109.65 Typical High $213.80 | Professional | 80 · Assistant surgeon | $93.33 | $109.65 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $95.50 Typical High $186.21 | Professional | AS · PA/NP assist | $81.28 | $95.50 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $6,760.83 Typical High $25,703.96 | Facility | None | $512.86 | $6,760.83 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,548.82 | Professional | None | $812.83 | $870.96 | $1,548.82 |
ConnectiCare Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,549.93 | Facility | None | $9,332.54 | $9,332.54 | $9,549.93 |
ConnectiCare Setting Professional Modifier None Typical Low $323.59 Median $707.95 Typical High $977.24 | Professional | None | $323.59 | $707.95 | $977.24 |
Health New England Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $851.14 | Professional | None | $223.87 | $416.87 | $851.14 |
5 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 $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $295.12 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $120.23 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $446.68 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $89.13 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $58.88 | $93.33 | $93.33 |
Where Connecticut sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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.
Connecticut· 10th of 51
$794
AK $2,344HI $224
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.