How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,445 to $8,913Professionalmedian $1,820 · 10th to 90th $1,202 to $3,311
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 $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $9,332.54 | Facility | None | $5,011.87 | $5,623.41 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,348.96 | $2,187.76 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $3,311.31 Typical High $4,897.79 | Professional | 50 · Both sides | $2,137.96 | $3,311.31 | $4,897.79 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,380.38 Typical High $2,041.74 | Professional | 62 · Two surgeons | $891.25 | $1,380.38 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $346.74 Typical High $524.81 | Professional | 80 · Assistant surgeon | $229.09 | $346.74 | $524.81 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $309.03 Typical High $457.09 | Professional | AS · PA/NP assist | $199.53 | $309.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,819.70 Typical High $2,290.87 | Facility | None | $575.44 | $1,819.70 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $3,548.13 | Professional | None | $1,445.44 | $1,862.09 | $3,548.13 |
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 $1,174.90 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,174.90 | $1,737.80 | $3,388.44 |
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 $1,258.93 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,258.93 | $1,621.81 | $2,884.03 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
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 $630.96 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $630.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $251.19 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $933.25 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $186.21 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $125.89 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $870.96 | $1,230.27 | $1,230.27 |
Where New Hampshire sits
The same service costs 6.2 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· 14th of 51
$1,862
AK $4,786UT $776
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.