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 $501.19 Median $724.44 Typical High $724.44 | Professional | None | $501.19 | $724.44 | $724.44 |
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 $501.19 Median $691.83 Typical High $1,230.27 | Professional | None | $501.19 | $691.83 | $1,230.27 |
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 $660.69 Median $691.83 Typical High $1,230.27 | Professional | None | $660.69 | $691.83 | $1,230.27 |
ConnectiCare Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | None | $707.95 | $741.31 | $741.31 |
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 $537.03 Median $794.33 Typical High $1,288.25 | Professional | None | $537.03 | $794.33 | $1,288.25 |
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 $245.47 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $245.47 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $371.54 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $74.13 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $50.12 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $346.74 | $501.19 | $501.19 |
Where Connecticut sits
The same service costs 7.2 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· 33rd of 51
$724
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.