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 $3,090.30 Typical High $3,090.30 | Professional | None | $2,137.96 | $3,090.30 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $17,378.01 Typical High $25,703.96 | Facility | None | $3,715.35 | $17,378.01 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $3,890.45 Typical High $5,248.07 | Professional | None | $1,995.26 | $3,890.45 | $5,248.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $2,454.71 Typical High $3,311.31 | Professional | 62 · Two surgeons | $1,258.93 | $2,454.71 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $616.60 Typical High $831.76 | Professional | 80 · Assistant surgeon | $316.23 | $616.60 | $831.76 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $549.54 Typical High $724.44 | Professional | AS · PA/NP assist | $275.42 | $549.54 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,585.78 Typical High $9,332.54 | Facility | None | $851.14 | $7,585.78 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $5,370.32 | Professional | None | $2,344.23 | $3,019.95 | $5,370.32 |
ConnectiCare Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,884.03 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $3,162.28 Typical High $6,025.60 | Professional | None | $1,584.89 | $3,162.28 | $6,025.60 |
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 $1,584.89 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,584.89 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,137.96 | $2,137.96 |
Where Connecticut sits
The same service costs 9.1 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
$3,890
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.