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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,737.80 | $2,511.89 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,951.21 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $467.74 Typical High $630.96 | Professional | 80 · Assistant surgeon | $257.04 | $467.74 | $630.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $407.38 Typical High $549.54 | Professional | AS · PA/NP assist | $223.87 | $407.38 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,762.47 Typical High $9,772.37 | Facility | None | $851.14 | $7,762.47 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $3,890.45 | Professional | None | $2,137.96 | $2,454.71 | $3,890.45 |
ConnectiCare Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,819.70 | $2,344.23 | $2,884.03 |
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 $1,348.96 Median $2,398.83 Typical High $4,677.35 | Professional | None | $1,348.96 | $2,398.83 | $4,677.35 |
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 $891.25 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $891.25 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $363.08 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,348.96 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $269.15 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $177.83 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,778.28 | $1,778.28 |
Where Connecticut sits
The same service costs 18.2 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· 17th of 51
$2,630
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.