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 $1,621.81 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,621.81 | $2,511.89 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $16,595.87 Typical High $19,952.62 | Facility | None | $1,000.00 | $16,595.87 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $3,548.13 | Professional | None | $1,479.11 | $2,630.27 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $933.25 Median $1,621.81 Typical High $2,290.87 | Professional | 62 · Two surgeons | $933.25 | $1,621.81 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $416.87 Typical High $575.44 | Professional | 80 · Assistant surgeon | $234.42 | $416.87 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $208.93 Median $363.08 Typical High $512.86 | Professional | AS · PA/NP assist | $208.93 | $363.08 | $512.86 |
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 $1,819.70 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,819.70 | $2,344.23 | $3,890.45 |
ConnectiCare Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,884.03 | Professional | None | $2,511.89 | $2,511.89 | $2,884.03 |
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 $1,621.81 Median $2,454.71 Typical High $5,248.07 | Professional | None | $1,621.81 | $2,454.71 | $5,248.07 |
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 $1,258.93 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,258.93 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,778.28 | $1,778.28 |
Where Connecticut sits
The same service costs 5.9 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· 12th of 51
$2,630
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.