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 $223.87 Median $316.23 Typical High $426.58 | Professional | None | $223.87 | $316.23 | $426.58 |
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 $165.96 Median $263.03 Typical High $389.05 | Professional | None | $165.96 | $263.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $436.52 Typical High $562.34 | Facility | None | $51.29 | $436.52 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $602.56 | Professional | None | $245.47 | $354.81 | $602.56 |
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 Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $588.84 | Professional | None | $181.97 | $323.59 | $588.84 |
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 $123.03 Median $128.82 Typical High $186.21 | Professional | 52 · Reduced service | $123.03 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $194.98 Typical High $281.84 | Professional | 54 · Surgery only | $181.97 | $194.98 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.90 Typical High $56.23 | Professional | 55 · Aftercare only | $36.31 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.70 Typical High $37.15 | Professional | 56 · Pre-op care only | $24.55 | $25.70 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $181.97 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $169.82 | $181.97 | $263.03 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 24th of 51
$309
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.