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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $645.65 | Professional | None | $407.38 | $588.84 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $676.08 Typical High $933.25 | Professional | None | $380.19 | $676.08 | $933.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $1,023.29 Typical High $1,380.38 | Professional | 50 · Both sides | $562.34 | $1,023.29 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,778.28 Typical High $2,238.72 | Facility | None | $549.54 | $1,778.28 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $1,023.29 | Professional | None | $512.86 | $616.60 | $1,023.29 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $758.58 | Professional | None | $575.44 | $602.56 | $758.58 |
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 $309.03 Median $602.56 Typical High $1,174.90 | Professional | None | $309.03 | $602.56 | $1,174.90 |
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 $208.93 Median $295.12 Typical High $316.23 | Professional | 52 · Reduced service | $208.93 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $85.11 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $436.52 Typical High $478.63 | Professional | 54 · Surgery only | $316.23 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $87.10 Typical High $95.50 | Professional | 55 · Aftercare only | $63.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $58.88 Typical High $64.57 | Professional | 56 · Pre-op care only | $42.66 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $407.38 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $295.12 | $407.38 | $446.68 |
Where Connecticut sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 12th of 51
$661
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.