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 $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $630.96 | Professional | None | $380.19 | $467.74 | $630.96 |
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 $309.03 Median $457.09 Typical High $616.60 | Professional | None | $309.03 | $457.09 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $1,000.00 | Facility | None | $50.12 | $51.29 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $831.76 | Professional | None | $407.38 | $524.81 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $630.96 | Professional | None | $602.56 | $630.96 | $630.96 |
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 $331.13 Median $537.03 Typical High $954.99 | Professional | None | $331.13 | $537.03 | $954.99 |
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 $194.98 Median $234.42 Typical High $316.23 | Professional | 52 · Reduced service | $194.98 | $234.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $93.33 Typical High $125.89 | Professional | 53 · Discontinued | $77.62 | $93.33 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $354.81 Typical High $467.74 | Professional | 54 · Surgery only | $288.40 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $70.79 Typical High $93.33 | Professional | 55 · Aftercare only | $58.88 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $46.77 Typical High $63.10 | Professional | 56 · Pre-op care only | $38.90 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $331.13 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $269.15 | $331.13 | $436.52 |
Where Connecticut sits
The same service costs 4.7 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· 24th of 51
$468
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.