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 $1,380.38 Median $1,862.09 Typical High $2,398.83 | Professional | None | $1,380.38 | $1,862.09 | $2,398.83 |
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 $1,258.93 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,258.93 | $1,819.70 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,513.56 Typical High $2,691.53 | Facility | None | $724.44 | $1,513.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,862.09 | $2,290.87 | $3,162.28 |
ConnectiCare Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,445.44 | $2,290.87 | $2,630.27 |
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 $977.24 Median $1,905.46 Typical High $3,548.13 | Professional | None | $977.24 | $1,905.46 | $3,548.13 |
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 $691.83 Median $933.25 Typical High $1,202.26 | Professional | 52 · Reduced service | $691.83 | $933.25 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $371.54 Typical High $478.63 | Professional | 53 · Discontinued | $275.42 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $281.84 Typical High $354.81 | Professional | 55 · Aftercare only | $208.93 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $186.21 Typical High $239.88 | Professional | 56 · Pre-op care only | $138.04 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,318.26 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $977.24 | $1,318.26 | $1,659.59 |
Where Connecticut sits
The same service costs 5.0 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
$1,905
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.