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 $794.33 Median $1,023.29 Typical High $1,230.27 | Professional | None | $794.33 | $1,023.29 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,715.35 Typical High $4,786.30 | Facility | None | $2,754.23 | $3,715.35 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,230.27 | Professional | None | $630.96 | $912.01 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,398.83 Typical High $3,090.30 | Facility | None | $851.14 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,621.81 | Professional | None | $977.24 | $1,122.02 | $1,621.81 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,318.26 | Professional | None | $1,174.90 | $1,230.27 | $1,318.26 |
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 $707.95 Median $1,071.52 Typical High $1,819.70 | Professional | None | $707.95 | $1,071.52 | $1,819.70 |
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 $380.19 Median $501.19 Typical High $602.56 | Professional | 52 · Reduced service | $380.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $199.53 Typical High $239.88 | Professional | 53 · Discontinued | $154.88 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $741.31 Typical High $891.25 | Professional | 54 · Surgery only | $575.44 | $741.31 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $147.91 Typical High $177.83 | Professional | 55 · Aftercare only | $114.82 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $100.00 Typical High $120.23 | Professional | 56 · Pre-op care only | $77.62 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $691.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $537.03 | $691.83 | $831.76 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 29th of 51
$1,023
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.