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 $630.96 Median $891.25 Typical High $891.25 | Professional | None | $630.96 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,128.31 Typical High $13,489.63 | Facility | None | $4,786.30 | $8,128.31 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $1,096.48 Typical High $1,513.56 | Professional | None | $562.34 | $1,096.48 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,584.89 Typical High $2,238.72 | Professional | 50 · Both sides | $851.14 | $1,584.89 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,388.44 Typical High $4,168.69 | Facility | None | $741.31 | $3,388.44 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,479.11 | Professional | None | $912.01 | $1,023.29 | $1,479.11 |
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 $707.95 Median $954.99 Typical High $1,071.52 | Professional | None | $707.95 | $954.99 | $1,071.52 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $1,698.24 | Professional | None | $478.63 | $912.01 | $1,698.24 |
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 $316.23 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $316.23 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $128.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $478.63 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $95.50 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $63.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $446.68 | $616.60 | $616.60 |
Where Connecticut sits
The same service costs 18.6 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
$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.