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 $3,162.28 Median $6,165.95 Typical High $8,511.38 | Facility | None | $3,162.28 | $6,165.95 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $870.96 | Professional | None | $478.63 | $870.96 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $12,022.64 Typical High $17,782.79 | Facility | None | $2,398.83 | $12,022.64 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,047.13 | Professional | None | $467.74 | $724.44 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $114.82 Typical High $169.82 | Professional | 80 · Assistant surgeon | $74.13 | $114.82 | $169.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $97.72 Typical High $147.91 | Professional | AS · PA/NP assist | $64.57 | $97.72 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $10,471.29 Typical High $13,182.57 | Facility | None | $851.14 | $10,471.29 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,071.52 | Professional | None | $660.69 | $776.25 | $1,071.52 |
ConnectiCare Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | None | $776.25 | $776.25 | $891.25 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,348.96 | Professional | None | $446.68 | $724.44 | $1,348.96 |
5 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 $263.03 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $263.03 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $104.71 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $398.11 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $79.43 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $52.48 | $87.10 | $87.10 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in New York. 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· 21st of 51
$832
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.