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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $489.78 | Professional | None | $295.12 | $338.84 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $524.81 | Professional | None | $275.42 | $398.11 | $524.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $562.34 Typical High $794.33 | Professional | 50 · Both sides | $416.87 | $562.34 | $794.33 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $173.78 Median $239.88 Typical High $331.13 | Professional | 62 · Two surgeons | $173.78 | $239.88 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $426.58 Typical High $1,380.38 | Facility | None | $363.08 | $426.58 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $524.81 Typical High $724.44 | Professional | None | $316.23 | $524.81 | $724.44 |
ConnectiCare Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $602.56 | Professional | None | $363.08 | $489.78 | $602.56 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $194.98 Median $398.11 Typical High $812.83 | Professional | None | $194.98 | $398.11 | $812.83 |
1 more rate 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 78 · Unplanned return to OR Typical Low $208.93 Median $234.42 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $208.93 | $234.42 | $338.84 |
Where Connecticut sits
The same service costs 5.0 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· 13th of 51
$417
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.