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 $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $416.87 | Professional | None | $288.40 | $416.87 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $467.74 Typical High $645.65 | Professional | None | $251.19 | $467.74 | $645.65 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $74.13 Typical High $102.33 | Professional | 80 · Assistant surgeon | $39.81 | $74.13 | $102.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $57.54 Typical High $89.13 | Professional | AS · PA/NP assist | $34.67 | $57.54 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,000.00 Typical High $6,025.60 | Facility | None | $851.14 | $1,000.00 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $630.96 | Professional | None | $416.87 | $457.09 | $630.96 |
ConnectiCare Setting Facility Modifier None Typical Low $724.44 Median $954.99 Typical High $1,174.90 | Facility | None | $724.44 | $954.99 | $1,174.90 |
ConnectiCare Setting Professional Modifier None Typical Low $239.88 Median $407.38 Typical High $489.78 | Professional | None | $239.88 | $407.38 | $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 $218.78 Median $416.87 Typical High $741.31 | Professional | None | $218.78 | $416.87 | $741.31 |
5 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 $144.54 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $144.54 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $57.54 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $213.80 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $43.65 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $28.84 | $41.69 | $41.69 |
Where Connecticut sits
The same service costs 4.8 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· 15th of 51
$437
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.