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 $251.19 Median $338.84 Typical High $398.11 | Professional | None | $251.19 | $338.84 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $28,183.83 | Facility | None | $1,819.70 | $3,162.28 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $575.44 | Professional | None | $223.87 | $407.38 | $575.44 |
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 $363.08 Median $407.38 Typical High $602.56 | Professional | None | $363.08 | $407.38 | $602.56 |
ConnectiCare Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $446.68 | Professional | None | $331.13 | $398.11 | $446.68 |
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 $190.55 Median $363.08 Typical High $691.83 | Professional | None | $190.55 | $363.08 | $691.83 |
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 $125.89 Median $169.82 Typical High $190.55 | Professional | 52 · Reduced service | $125.89 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $67.61 Typical High $75.86 | Professional | 53 · Discontinued | $51.29 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $251.19 Typical High $288.40 | Professional | 54 · Surgery only | $190.55 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 55 · Aftercare only | $38.02 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $33.88 Typical High $38.02 | Professional | 56 · Pre-op care only | $25.70 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $234.42 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $177.83 | $234.42 | $269.15 |
Where Connecticut sits
The same service costs 5.1 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· 11th of 51
$389
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.