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 $4,365.16 Median $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,238.72 | $3,630.78 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $22,908.68 Typical High $28,183.83 | Facility | None | $1,174.90 | $22,908.68 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $3,548.13 Typical High $5,011.87 | Professional | None | $2,041.74 | $3,548.13 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $2,238.72 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,288.25 | $2,238.72 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $562.34 Typical High $794.33 | Professional | 80 · Assistant surgeon | $323.59 | $562.34 | $794.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $489.78 Typical High $691.83 | Professional | AS · PA/NP assist | $281.84 | $489.78 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $5,248.07 | Professional | None | $2,454.71 | $3,388.44 | $5,248.07 |
ConnectiCare Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,890.45 | Professional | None | $3,019.95 | $3,019.95 | $3,890.45 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $7,244.36 | Professional | None | $2,187.76 | $3,467.37 | $7,244.36 |
2 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 $1,698.24 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,698.24 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,570.40 | $2,570.40 |
Where Connecticut sits
The same service costs 5.2 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
$3,631
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.