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 $8,511.38 Typical High $11,481.54 | Facility | None | $4,570.88 | $8,511.38 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $19,498.45 Typical High $50,118.72 | Facility | None | $7,585.78 | $19,498.45 | $50,118.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $3,981.07 Typical High $5,248.07 | Professional | None | $2,238.72 | $3,981.07 | $5,248.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $2,454.71 Typical High $3,311.31 | Professional | 62 · Two surgeons | $1,348.96 | $2,454.71 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $630.96 Typical High $851.14 | Professional | 80 · Assistant surgeon | $346.74 | $630.96 | $851.14 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $549.54 Typical High $741.31 | Professional | AS · PA/NP assist | $302.00 | $549.54 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $23,988.33 Typical High $29,512.09 | Facility | None | $851.14 | $23,988.33 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,235.94 Typical High $5,495.41 | Professional | None | $2,818.38 | $3,235.94 | $5,495.41 |
ConnectiCare Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,467.37 | Professional | None | $2,691.53 | $3,019.95 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $10,471.29 Typical High $18,197.01 | Facility | None | $1,348.96 | $10,471.29 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $3,235.94 Typical High $6,456.54 | Professional | None | $1,659.59 | $3,235.94 | $6,456.54 |
2 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 54 · Surgery only Typical Low $1,621.81 Median $2,238.72 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,621.81 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $2,089.30 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,513.56 | $2,089.30 | $2,089.30 |
Where Connecticut sits
The same service costs 8.1 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
$3,981
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.