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 $1,698.24 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $524.81 | Professional | None | $281.84 | $416.87 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $524.81 Typical High $707.95 | Professional | None | $281.84 | $524.81 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $288.40 Typical High $371.54 | Facility | None | $51.29 | $288.40 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $724.44 | Professional | None | $275.42 | $380.19 | $724.44 |
ConnectiCare Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $512.86 | Professional | None | $354.81 | $426.58 | $512.86 |
Health New England Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $213.80 Median $407.38 Typical High $831.76 | Professional | None | $213.80 | $407.38 | $831.76 |
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 $147.91 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $147.91 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $60.26 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $309.03 Typical High $331.13 | Professional | 54 · Surgery only | $223.87 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $61.66 Typical High $66.07 | Professional | 55 · Aftercare only | $44.67 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $41.69 Typical High $43.65 | Professional | 56 · Pre-op care only | $29.51 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $288.40 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $208.93 | $288.40 | $309.03 |
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· 13th of 51
$447
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.