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 $870.96 Median $1,288.25 Typical High $1,288.25 | Professional | None | $870.96 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,041.74 | Professional | None | $776.25 | $1,479.11 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,388.44 Typical High $4,466.84 | Facility | None | $1,000.00 | $3,388.44 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,041.74 | Professional | None | $1,047.13 | $1,202.26 | $2,041.74 |
ConnectiCare Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,479.11 | Professional | None | $977.24 | $1,202.26 | $1,479.11 |
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 $660.69 Median $1,202.26 Typical High $2,290.87 | Professional | None | $660.69 | $1,202.26 | $2,290.87 |
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 $436.52 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $436.52 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $173.78 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $645.65 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $131.83 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $87.10 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $616.60 | $891.25 | $891.25 |
Where Connecticut sits
The same service costs 7.1 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
$1,413
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.