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 $346.74 Median $354.81 Typical High $588.84 | Professional | None | $346.74 | $354.81 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,128.31 Typical High $13,489.63 | Facility | None | $4,786.30 | $8,128.31 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $575.44 | Professional | None | $316.23 | $436.52 | $575.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $467.74 Median $630.96 Typical High $851.14 | Professional | 50 · Both sides | $467.74 | $630.96 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,388.44 Typical High $4,168.69 | Facility | None | $741.31 | $3,388.44 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $776.25 | Professional | None | $371.54 | $489.78 | $776.25 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $660.69 | Professional | None | $436.52 | $549.54 | $660.69 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $977.24 | Professional | None | $213.80 | $446.68 | $977.24 |
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 $169.82 Median $177.83 Typical High $295.12 | Professional | 52 · Reduced service | $169.82 | $177.83 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $117.49 | Professional | 53 · Discontinued | $67.61 | $70.79 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $269.15 Typical High $436.52 | Professional | 54 · Surgery only | $251.19 | $269.15 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $87.10 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $35.48 Typical High $58.88 | Professional | 56 · Pre-op care only | $33.88 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $251.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $234.42 | $251.19 | $407.38 |
Where Connecticut sits
The same service costs 5.5 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· 17th 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.