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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,348.96 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,202.26 | $2,041.74 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $3,019.95 Typical High $4,365.16 | Professional | 50 · Both sides | $1,778.28 | $3,019.95 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,288.25 Typical High $1,819.70 | Professional | 62 · Two surgeons | $758.58 | $1,288.25 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $323.59 Typical High $467.74 | Professional | 80 · Assistant surgeon | $190.55 | $323.59 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $281.84 Typical High $407.38 | Professional | AS · PA/NP assist | $165.96 | $281.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $6,760.83 Typical High $8,317.64 | Facility | None | $1,000.00 | $6,760.83 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,445.44 | $1,995.26 | $3,090.30 |
ConnectiCare Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,089.30 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $4,265.80 | Professional | None | $1,288.25 | $2,041.74 | $4,265.80 |
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 $1,023.29 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,023.29 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $954.99 | $1,445.44 | $1,445.44 |
Where Connecticut sits
The same service costs 5.4 times more in Wisconsin 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· 19th of 51
$2,291
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.