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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $891.25 | Professional | None | $407.38 | $645.65 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $776.25 | Professional | None | $346.74 | $537.03 | $776.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $776.25 Typical High $1,148.15 | Professional | 50 · Both sides | $524.81 | $776.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,090.30 Typical High $3,801.89 | Facility | None | $741.31 | $3,090.30 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $977.24 | Professional | None | $478.63 | $676.08 | $977.24 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | None | $794.33 | $794.33 | $870.96 |
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 $363.08 Median $588.84 Typical High $1,202.26 | Professional | None | $363.08 | $588.84 | $1,202.26 |
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 $204.17 Median $323.59 Typical High $446.68 | Professional | 52 · Reduced service | $204.17 | $323.59 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $131.83 Typical High $177.83 | Professional | 53 · Discontinued | $81.28 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $489.78 Typical High $660.69 | Professional | 54 · Surgery only | $309.03 | $489.78 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $97.72 Typical High $131.83 | Professional | 55 · Aftercare only | $61.66 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $64.57 Typical High $89.13 | Professional | 56 · Pre-op care only | $40.74 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $457.09 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $288.40 | $457.09 | $616.60 |
Where Connecticut sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$646
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.