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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $691.83 | Professional | None | $467.74 | $691.83 | $691.83 |
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 $446.68 Median $851.14 Typical High $1,122.02 | Professional | None | $446.68 | $851.14 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $281.84 Median $537.03 Typical High $707.95 | Professional | 62 · Two surgeons | $281.84 | $537.03 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $6,309.57 Typical High $7,762.47 | Facility | None | $1,047.13 | $6,309.57 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,023.29 | Professional | None | $588.84 | $724.44 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $758.58 | Professional | None | $524.81 | $707.95 | $758.58 |
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 $426.58 Median $741.31 Typical High $1,659.59 | Professional | None | $426.58 | $741.31 | $1,659.59 |
1 more rate 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 $354.81 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $354.81 | $512.86 | $512.86 |
Where Connecticut sits
The same service costs 4.6 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· 12th of 51
$776
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.