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 $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $2,041.74 | Professional | None | $501.19 | $588.84 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $11,481.54 Typical High $13,489.63 | Facility | None | $2,754.23 | $11,481.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $1,288.25 Typical High $3,388.44 | Professional | None | $489.78 | $1,288.25 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,737.80 Typical High $5,128.61 | Professional | 50 · Both sides | $741.31 | $1,737.80 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,388.44 Typical High $4,265.80 | Facility | None | $851.14 | $3,388.44 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $3,162.28 | Professional | None | $478.63 | $870.96 | $3,162.28 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,905.46 | $1,905.46 | $3,235.94 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,258.93 Typical High $4,265.80 | Professional | None | $371.54 | $1,258.93 | $4,265.80 |
6 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 $251.19 Median $295.12 Typical High $1,023.29 | Professional | 52 · Reduced service | $251.19 | $295.12 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $407.38 | Professional | 53 · Discontinued | $100.00 | $117.49 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $446.68 Typical High $1,513.56 | Professional | 54 · Surgery only | $371.54 | $446.68 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $89.13 Typical High $302.00 | Professional | 55 · Aftercare only | $74.13 | $89.13 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $58.88 Typical High $204.17 | Professional | 56 · Pre-op care only | $50.12 | $58.88 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $416.87 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $346.74 | $416.87 | $1,412.54 |
Where Connecticut sits
The same service costs 5.8 times more in Alaska than in Nebraska. 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· 16th of 51
$1,698
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.