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 $281.84 Median $380.19 Typical High $501.19 | Professional | None | $281.84 | $380.19 | $501.19 |
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 $234.42 Median $371.54 Typical High $512.86 | Professional | None | $234.42 | $371.54 | $512.86 |
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 $331.13 Median $446.68 Typical High $707.95 | Professional | None | $331.13 | $446.68 | $707.95 |
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 $478.63 Median $501.19 Typical High $501.19 | Professional | None | $478.63 | $501.19 | $501.19 |
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 $269.15 Median $436.52 Typical High $776.25 | Professional | None | $269.15 | $436.52 | $776.25 |
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 $158.49 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $158.49 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $63.10 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $269.15 Typical High $371.54 | Professional | 54 · Surgery only | $234.42 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $53.70 Typical High $74.13 | Professional | 55 · Aftercare only | $46.77 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $31.62 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $251.19 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $218.78 | $251.19 | $346.74 |
Where Connecticut sits
The same service costs 3.9 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.
Connecticut· 33rd of 51
$398
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.