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 $812.83 Median $1,096.48 Typical High $1,318.26 | Professional | None | $812.83 | $1,096.48 | $1,318.26 |
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 $676.08 Median $977.24 Typical High $1,318.26 | Professional | None | $676.08 | $977.24 | $1,318.26 |
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 $1,047.13 Median $1,202.26 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,202.26 | $1,737.80 |
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 $1,258.93 Median $1,318.26 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,318.26 | $1,412.54 |
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 $758.58 Median $1,148.15 Typical High $1,995.26 | Professional | None | $758.58 | $1,148.15 | $1,995.26 |
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 $416.87 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $416.87 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $213.80 Typical High $257.04 | Professional | 53 · Discontinued | $165.96 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $794.33 Typical High $954.99 | Professional | 54 · Surgery only | $616.60 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $158.49 Typical High $190.55 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $107.15 Typical High $128.82 | Professional | 56 · Pre-op care only | $83.18 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $741.31 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $575.44 | $741.31 | $891.25 |
Where Connecticut sits
The same service costs 4.5 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· 27th of 51
$1,096
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.