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 $537.03 Median $758.58 Typical High $758.58 | Professional | None | $537.03 | $758.58 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $1,230.27 | Professional | None | $457.09 | $933.25 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $1,318.26 Typical High $1,819.70 | Professional | 50 · Both sides | $691.83 | $1,318.26 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $549.54 Typical High $776.25 | Professional | 62 · Two surgeons | $288.40 | $549.54 | $776.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $141.25 Typical High $194.98 | Professional | 80 · Assistant surgeon | $74.13 | $141.25 | $194.98 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $123.03 Typical High $169.82 | Professional | AS · PA/NP assist | $64.57 | $123.03 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,995.26 Typical High $2,570.40 | Facility | None | $741.31 | $1,995.26 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,230.27 | Professional | None | $660.69 | $758.58 | $1,230.27 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $616.60 | Facility | None | $446.68 | $457.09 | $616.60 |
ConnectiCare Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $870.96 | Professional | None | $602.56 | $724.44 | $870.96 |
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 $398.11 Median $741.31 Typical High $1,412.54 | Professional | None | $398.11 | $741.31 | $1,412.54 |
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 $398.11 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $398.11 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $371.54 | $524.81 | $524.81 |
Where Connecticut sits
The same service costs 8.1 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
$871
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.