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 $691.83 Median $1,071.52 Typical High $1,288.25 | Professional | None | $691.83 | $1,071.52 | $1,288.25 |
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 $630.96 Median $1,000.00 Typical High $1,513.56 | Professional | None | $630.96 | $1,000.00 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,162.28 Typical High $4,073.80 | Facility | None | $1,000.00 | $3,162.28 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,513.56 | Professional | None | $812.83 | $1,000.00 | $1,513.56 |
ConnectiCare Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,023.29 | Facility | None | $630.96 | $851.14 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,348.96 | Professional | None | $794.33 | $1,023.29 | $1,348.96 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $1,737.80 | Professional | None | $489.78 | $891.25 | $1,737.80 |
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 $338.84 Median $537.03 Typical High $645.65 | Professional | 52 · Reduced service | $338.84 | $537.03 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $213.80 Typical High $257.04 | Professional | 53 · Discontinued | $138.04 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $794.33 Typical High $954.99 | Professional | 54 · Surgery only | $512.86 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $158.49 Typical High $194.98 | Professional | 55 · Aftercare only | $102.33 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $107.15 Typical High $128.82 | Professional | 56 · Pre-op care only | $67.61 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $741.31 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $478.63 | $741.31 | $891.25 |
Where Connecticut sits
The same service costs 6.5 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· 11th of 51
$1,047
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.