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 $144.54 Median $194.98 Typical High $234.42 | Professional | None | $144.54 | $194.98 | $234.42 |
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 $128.82 Median $223.87 Typical High $309.03 | Professional | None | $128.82 | $223.87 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $1,000.00 | Facility | None | $309.03 | $363.08 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $354.81 | Professional | None | $186.21 | $229.09 | $354.81 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | None | $181.97 | $218.78 | $269.15 |
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 $109.65 Median $213.80 Typical High $398.11 | Professional | None | $109.65 | $213.80 | $398.11 |
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 $74.13 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $74.13 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $29.51 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $147.91 Typical High $173.78 | Professional | 54 · Surgery only | $109.65 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $21.88 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $19.50 Typical High $23.44 | Professional | 56 · Pre-op care only | $14.79 | $19.50 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $138.04 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $102.33 | $138.04 | $162.18 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Delaware. 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
$234
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.