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 $234.42 Median $323.59 Typical High $426.58 | Professional | None | $234.42 | $323.59 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $7,943.28 | Facility | None | $3,311.31 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $436.52 | Professional | None | $199.53 | $309.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $2,187.76 | Facility | None | $741.31 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $562.34 | Professional | None | $245.47 | $363.08 | $562.34 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $426.58 | Professional | None | $416.87 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $208.93 Median $371.54 Typical High $676.08 | Professional | None | $208.93 | $371.54 | $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 $134.90 Median $151.36 Typical High $213.80 | Professional | 52 · Reduced service | $134.90 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $85.11 | Professional | 53 · Discontinued | $53.70 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $229.09 Typical High $323.59 | Professional | 54 · Surgery only | $204.17 | $229.09 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $45.71 Typical High $64.57 | Professional | 55 · Aftercare only | $40.74 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $30.90 Typical High $42.66 | Professional | 56 · Pre-op care only | $26.92 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $213.80 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $190.55 | $213.80 | $302.00 |
Where Connecticut sits
The same service costs 4.0 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· 31st of 51
$339
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.