How much rates vary
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 $107.15 Median $169.82 Typical High $275.42 | Professional | None | $107.15 | $169.82 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $316.23 | Professional | None | $102.33 | $181.97 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $478.63 Typical High $616.60 | Facility | None | $51.29 | $478.63 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $407.38 | Professional | None | $134.90 | $257.04 | $407.38 |
ConnectiCare Setting Professional Modifier None Typical Low $95.50 Median $213.80 Typical High $218.78 | Professional | None | $95.50 | $213.80 | $218.78 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $371.54 | Professional | None | $95.50 | $199.53 | $371.54 |
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 $64.57 Median $64.57 Typical High $114.82 | Professional | 52 · Reduced service | $64.57 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $45.71 | Professional | 53 · Discontinued | $26.30 | $26.30 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | 54 · Surgery only | $97.72 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $33.88 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $91.20 | $91.20 | $158.49 |
Where Connecticut sits
The same service costs 4.1 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.
Connecticut· 20th of 51
$219
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.