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 $616.60 Median $794.33 Typical High $1,000.00 | Professional | None | $616.60 | $794.33 | $1,000.00 |
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 $524.81 Median $776.25 Typical High $1,000.00 | Professional | None | $524.81 | $776.25 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,344.23 Typical High $3,090.30 | Facility | None | $741.31 | $2,344.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,348.96 | Professional | None | $724.44 | $870.96 | $1,348.96 |
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 $954.99 Median $1,000.00 Typical High $1,000.00 | Professional | None | $954.99 | $1,000.00 | $1,000.00 |
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 $562.34 Median $851.14 Typical High $1,548.82 | Professional | None | $562.34 | $851.14 | $1,548.82 |
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 $309.03 Median $389.05 Typical High $489.78 | Professional | 52 · Reduced service | $309.03 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $158.49 Typical High $194.98 | Professional | 53 · Discontinued | $123.03 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $588.84 Typical High $724.44 | Professional | 54 · Surgery only | $467.74 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $117.49 Typical High $147.91 | Professional | 55 · Aftercare only | $93.33 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $77.62 Typical High $97.72 | Professional | 56 · Pre-op care only | $61.66 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $549.54 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $436.52 | $549.54 | $691.83 |
Where Connecticut sits
The same service costs 4.2 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· 30th of 51
$794
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.