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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $588.84 | Professional | None | $398.11 | $588.84 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $12,302.69 Typical High $28,183.83 | Facility | None | $2,754.23 | $12,302.69 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $707.95 Typical High $977.24 | Professional | None | $371.54 | $707.95 | $977.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $1,023.29 Typical High $1,445.44 | Professional | 50 · Both sides | $537.03 | $1,023.29 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,585.78 Typical High $9,332.54 | Facility | None | $851.14 | $7,585.78 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $933.25 | Professional | None | $501.19 | $575.44 | $933.25 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $660.69 | Professional | None | $398.11 | $524.81 | $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 $295.12 Median $562.34 Typical High $1,047.13 | Professional | None | $295.12 | $562.34 | $1,047.13 |
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 $199.53 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $79.43 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $302.00 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $60.26 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $39.81 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $281.84 | $416.87 | $416.87 |
Where Connecticut sits
The same service costs 7.2 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· 14th of 51
$676
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.