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 $1,148.15 Typical High $1,148.15 | Professional | None | $812.83 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,128.31 Typical High $13,489.63 | Facility | None | $4,786.30 | $8,128.31 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,819.70 | Professional | None | $707.95 | $977.24 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,630.27 Typical High $3,388.44 | Facility | None | $851.14 | $2,630.27 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,071.52 | $1,778.28 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $831.76 | Facility | None | $331.13 | $457.09 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,122.02 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,862.09 | Professional | None | $758.58 | $1,148.15 | $1,862.09 |
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 $407.38 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $407.38 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $162.18 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $602.56 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $120.23 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $81.28 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $562.34 | $812.83 | $812.83 |
Where Connecticut sits
The same service costs 7.1 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
$1,072
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.