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 $676.08 Median $933.25 Typical High $1,122.02 | Professional | None | $676.08 | $933.25 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $1,071.52 Typical High $1,445.44 | Professional | None | $575.44 | $1,071.52 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $2,187.76 | Facility | None | $707.95 | $1,380.38 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,621.81 | Professional | None | $691.83 | $851.14 | $1,621.81 |
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 $776.25 Median $954.99 Typical High $1,230.27 | Professional | None | $776.25 | $954.99 | $1,230.27 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $1,819.70 | Professional | None | $478.63 | $870.96 | $1,819.70 |
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 $467.74 Typical High $562.34 | Professional | 52 · Reduced service | $338.84 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $186.21 Typical High $223.87 | Professional | 53 · Discontinued | $134.90 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $707.95 Typical High $851.14 | Professional | 54 · Surgery only | $512.86 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $141.25 Typical High $169.82 | Professional | 55 · Aftercare only | $102.33 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $93.33 Typical High $112.20 | Professional | 56 · Pre-op care only | $67.61 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $660.69 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $478.63 | $660.69 | $794.33 |
Where Connecticut sits
The same service costs 5.6 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· 14th of 51
$977
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.