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 $524.81 Median $549.54 Typical High $758.58 | Professional | None | $524.81 | $549.54 | $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 $501.19 Median $812.83 Typical High $1,288.25 | Professional | None | $501.19 | $812.83 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,090.30 Typical High $3,801.89 | Facility | None | $741.31 | $3,090.30 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Professional | None | $501.19 | $660.69 | $1,023.29 |
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 $812.83 Median $851.14 Typical High $851.14 | Professional | None | $812.83 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $407.38 Median $758.58 Typical High $1,548.82 | Professional | None | $407.38 | $758.58 | $1,548.82 |
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 $269.15 Typical High $380.19 | Professional | 52 · Reduced service | $263.03 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $109.65 Typical High $151.36 | Professional | 53 · Discontinued | $104.71 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $407.38 Typical High $562.34 | Professional | 54 · Surgery only | $389.05 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $81.28 Typical High $114.82 | Professional | 55 · Aftercare only | $77.62 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $54.95 Typical High $75.86 | Professional | 56 · Pre-op care only | $52.48 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $380.19 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $363.08 | $380.19 | $524.81 |
Where Connecticut sits
The same service costs 4.4 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· 9th 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.