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 $2,630.27 Median $3,890.45 Typical High $3,890.45 | Professional | None | $2,630.27 | $3,890.45 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $12,589.25 Typical High $16,218.10 | Facility | None | $3,630.78 | $12,589.25 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,801.89 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $2,398.83 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,412.54 | $2,398.83 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $363.08 Median $616.60 Typical High $891.25 | Professional | 80 · Assistant surgeon | $363.08 | $616.60 | $891.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $537.03 Typical High $776.25 | Professional | AS · PA/NP assist | $316.23 | $537.03 | $776.25 |
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 $2,754.23 Median $3,801.89 Typical High $5,888.44 | Professional | None | $2,754.23 | $3,801.89 | $5,888.44 |
ConnectiCare Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
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 $2,454.71 Median $3,890.45 Typical High $7,943.28 | Professional | None | $2,454.71 | $3,890.45 | $7,943.28 |
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 $1,949.84 Median $2,884.03 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,949.84 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,691.53 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,691.53 | $2,691.53 |
Where Connecticut sits
The same service costs 6.5 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
$3,890
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.