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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $407.38 | Professional | None | $213.80 | $295.12 | $407.38 |
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 $177.83 Median $281.84 Typical High $398.11 | Professional | None | $177.83 | $281.84 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $1,479.11 | Facility | None | $588.84 | $891.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $549.54 | Professional | None | $190.55 | $309.03 | $549.54 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $758.58 | Facility | None | $331.13 | $457.09 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | None | $380.19 | $398.11 | $398.11 |
Health New England Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | None | $199.53 | $199.53 | $208.93 |
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 $186.21 Median $331.13 Typical High $616.60 | Professional | None | $186.21 | $331.13 | $616.60 |
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 $125.89 Median $138.04 Typical High $199.53 | Professional | 52 · Reduced service | $125.89 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $79.43 | Professional | 53 · Discontinued | $50.12 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $204.17 Typical High $302.00 | Professional | 54 · Surgery only | $186.21 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $40.74 Typical High $60.26 | Professional | 55 · Aftercare only | $38.02 | $40.74 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $27.54 Typical High $39.81 | Professional | 56 · Pre-op care only | $25.12 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $190.55 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $173.78 | $190.55 | $281.84 |
Where Connecticut sits
The same service costs 3.6 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· 33rd of 51
$302
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.