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 $6,760.83 Typical High $8,709.64 | Facility | None | $4,570.88 | $6,760.83 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,548.82 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $16,982.44 Typical High $25,703.96 | Facility | None | $6,309.57 | $16,982.44 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,698.24 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,511.89 Typical High $3,388.44 | Professional | 50 · Both sides | $1,548.82 | $2,511.89 | $3,388.44 |
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 $1,513.56 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,513.56 | $1,698.24 | $2,454.71 |
ConnectiCare Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | None | $10,232.93 | $10,232.93 | $10,232.93 |
ConnectiCare Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,548.82 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $2,818.38 | Professional | None | $812.83 | $1,513.56 | $2,818.38 |
4 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 54 · Surgery only Typical Low $812.83 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $812.83 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $162.18 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $107.15 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $758.58 | $1,096.48 | $1,096.48 |
Where Connecticut sits
The same service costs 7.6 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· 16th of 51
$1,698
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.