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 $524.81 Median $812.83 Typical High $812.83 | Professional | None | $524.81 | $812.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $870.96 Typical High $1,174.90 | Professional | None | $457.09 | $870.96 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $4,786.30 Typical High $5,888.44 | Facility | None | $1,000.00 | $4,786.30 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,202.26 | Professional | None | $645.65 | $776.25 | $1,202.26 |
ConnectiCare Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,023.29 | Facility | None | $630.96 | $851.14 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
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 $501.19 Median $776.25 Typical High $1,621.81 | Professional | None | $501.19 | $776.25 | $1,621.81 |
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 $263.03 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $263.03 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $104.71 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $398.11 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $79.43 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $52.48 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $371.54 | $575.44 | $575.44 |
Where Connecticut sits
The same service costs 5.4 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· 22nd of 51
$955
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.