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 $575.44 Median $616.60 Typical High $1,258.93 | Professional | None | $575.44 | $616.60 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,317.64 Typical High $16,218.10 | Facility | None | $4,786.30 | $8,317.64 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $870.96 | Professional | None | $489.78 | $676.08 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,165.95 Typical High $7,762.47 | Facility | None | $741.31 | $6,165.95 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $933.25 Typical High $1,445.44 | Professional | None | $524.81 | $933.25 | $1,445.44 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,174.90 | Professional | None | $758.58 | $977.24 | $1,174.90 |
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 $331.13 Median $741.31 Typical High $1,659.59 | Professional | None | $331.13 | $741.31 | $1,659.59 |
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 $288.40 Median $309.03 Typical High $630.96 | Professional | 52 · Reduced service | $288.40 | $309.03 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $251.19 | Professional | 53 · Discontinued | $114.82 | $123.03 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $457.09 Typical High $954.99 | Professional | 54 · Surgery only | $436.52 | $457.09 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $91.20 Typical High $190.55 | Professional | 55 · Aftercare only | $87.10 | $91.20 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $61.66 Typical High $125.89 | Professional | 56 · Pre-op care only | $57.54 | $61.66 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $426.58 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $407.38 | $426.58 | $891.25 |
Where Connecticut sits
The same service costs 4.9 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· 23rd of 51
$692
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.