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 $501.19 Median $524.81 Typical High $851.14 | Professional | None | $501.19 | $524.81 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $28,183.83 | Facility | None | $3,548.13 | $4,168.69 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $831.76 | Professional | None | $478.63 | $616.60 | $831.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $933.25 Typical High $1,258.93 | Professional | 50 · Both sides | $691.83 | $933.25 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,454.71 Typical High $3,235.94 | Facility | None | $741.31 | $2,454.71 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $1,288.25 | Professional | None | $457.09 | $602.56 | $1,288.25 |
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 $645.65 Median $758.58 Typical High $1,000.00 | Professional | None | $645.65 | $758.58 | $1,000.00 |
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 $309.03 Median $630.96 Typical High $1,548.82 | Professional | None | $309.03 | $630.96 | $1,548.82 |
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 $251.19 Median $251.19 Typical High $426.58 | Professional | 52 · Reduced service | $251.19 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $102.33 Typical High $173.78 | Professional | 53 · Discontinued | $100.00 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $380.19 Typical High $645.65 | Professional | 54 · Surgery only | $371.54 | $380.19 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $128.82 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $51.29 Typical High $85.11 | Professional | 56 · Pre-op care only | $50.12 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $354.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $346.74 | $354.81 | $602.56 |
Where Connecticut sits
The same service costs 4.7 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· 20th of 51
$631
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.