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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $549.54 | Professional | None | $316.23 | $407.38 | $549.54 |
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 $223.87 Median $398.11 Typical High $524.81 | Professional | None | $223.87 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,548.82 | Facility | None | $645.65 | $933.25 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $812.83 | Professional | None | $398.11 | $549.54 | $812.83 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $831.76 | Facility | None | $331.13 | $457.09 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $524.81 | Professional | None | $501.19 | $524.81 | $524.81 |
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 $275.42 Median $446.68 Typical High $851.14 | Professional | None | $275.42 | $446.68 | $851.14 |
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 $169.82 Median $181.97 Typical High $269.15 | Professional | 52 · Reduced service | $169.82 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $107.15 | Professional | 53 · Discontinued | $67.61 | $72.44 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $275.42 Typical High $398.11 | Professional | 54 · Surgery only | $257.04 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $79.43 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $53.70 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $257.04 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $239.88 | $257.04 | $371.54 |
Where Connecticut sits
The same service costs 3.4 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· 27th of 51
$437
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.