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 $645.65 Median $851.14 Typical High $1,023.29 | Professional | None | $645.65 | $851.14 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,047.13 | Professional | None | $549.54 | $776.25 | $1,047.13 |
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 $794.33 Median $933.25 Typical High $1,412.54 | Professional | None | $794.33 | $933.25 | $1,412.54 |
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 $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,000.00 | $1,047.13 | $1,047.13 |
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 $588.84 Median $891.25 Typical High $1,548.82 | Professional | None | $588.84 | $891.25 | $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 $331.13 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $331.13 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $169.82 Typical High $204.17 | Professional | 53 · Discontinued | $131.83 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $645.65 Typical High $758.58 | Professional | 54 · Surgery only | $489.78 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $128.82 Typical High $151.36 | Professional | 55 · Aftercare only | $97.72 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $85.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $66.07 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $602.56 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $457.09 | $602.56 | $707.95 |
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· 29th of 51
$851
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.