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 Professional Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,698.24 | $2,344.23 | $2,884.03 |
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 $1,548.82 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,290.87 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $2,691.53 | Facility | None | $831.76 | $1,737.80 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,951.21 | $3,801.89 |
ConnectiCare Setting Professional Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $3,235.94 | Professional | None | $2,041.74 | $2,818.38 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,398.83 Typical High $4,365.16 | Professional | None | $1,230.27 | $2,398.83 | $4,365.16 |
5 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 $851.14 Median $1,174.90 Typical High $1,445.44 | Professional | 52 · Reduced service | $851.14 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $467.74 Typical High $575.44 | Professional | 53 · Discontinued | $338.84 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $354.81 Typical High $426.58 | Professional | 55 · Aftercare only | $257.04 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $234.42 Typical High $288.40 | Professional | 56 · Pre-op care only | $169.82 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,659.59 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,659.59 | $1,995.26 |
Where Connecticut sits
The same service costs 5.1 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· 13th of 51
$2,399
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.