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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $758.58 | Professional | None | $489.78 | $645.65 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $1,023.29 | Professional | None | $446.68 | $812.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,570.40 Typical High $3,388.44 | Facility | None | $741.31 | $2,570.40 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,230.27 | Professional | None | $630.96 | $724.44 | $1,230.27 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,412.54 | Professional | None | $467.74 | $676.08 | $1,412.54 |
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 $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $100.00 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $371.54 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $74.13 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $50.12 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $346.74 | $457.09 | $457.09 |
Where Connecticut sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 20th of 51
$813
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.