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 $1,071.52 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $14,791.08 Typical High $22,387.21 | Facility | None | $7,585.78 | $14,791.08 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,995.26 | Professional | None | $977.24 | $1,348.96 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $2,041.74 Typical High $2,884.03 | Professional | 50 · Both sides | $1,479.11 | $2,041.74 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $851.14 Typical High $1,230.27 | Professional | 62 · Two surgeons | $616.60 | $851.14 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $218.78 Typical High $309.03 | Professional | 80 · Assistant surgeon | $158.49 | $218.78 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $190.55 Typical High $269.15 | Professional | AS · PA/NP assist | $138.04 | $190.55 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,819.70 | $3,019.95 |
ConnectiCare Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,412.54 | $2,344.23 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,479.11 | $2,630.27 |
2 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 54 · Surgery only Typical Low $794.33 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $794.33 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $741.31 | $1,047.13 | $1,047.13 |
Where Connecticut sits
The same service costs 6.8 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· 28th of 51
$1,479
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.