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 $9,549.93 | Facility | None | $4,570.88 | $6,760.83 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,905.46 | $1,905.46 |
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 $1,148.15 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,148.15 | $2,238.72 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $3,311.31 Typical High $4,570.88 | Professional | 50 · Both sides | $1,737.80 | $3,311.31 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $17,782.79 Typical High $21,877.62 | Facility | None | $851.14 | $17,782.79 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,819.70 | $2,041.74 | $2,951.21 |
ConnectiCare Setting Facility Modifier None Typical Low $24,547.09 Median $24,547.09 Typical High $24,547.09 | Facility | None | $24,547.09 | $24,547.09 | $24,547.09 |
ConnectiCare Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,862.09 | $2,238.72 |
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 $1,000.00 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,000.00 | $1,862.09 | $3,467.37 |
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 $977.24 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $977.24 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $194.98 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $131.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $912.01 | $1,348.96 | $1,348.96 |
Where Connecticut sits
The same service costs 8.1 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· 18th of 51
$2,042
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.