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 $436.52 Median $812.83 Typical High $1,479.11 | Professional | None | $436.52 | $812.83 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $2,884.03 | Professional | None | $707.95 | $1,023.29 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,737.80 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $4,677.35 | Professional | None | $575.44 | $812.83 | $4,677.35 |
ConnectiCare Setting Professional Modifier None Typical Low $1,148.15 Median $4,466.84 Typical High $5,623.41 | Professional | None | $1,148.15 | $4,466.84 | $5,623.41 |
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 $380.19 Median $977.24 Typical High $3,467.37 | Professional | None | $380.19 | $977.24 | $3,467.37 |
2 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 54 · Surgery only Typical Low $331.13 Median $616.60 Typical High $1,122.02 | Professional | 54 · Surgery only | $331.13 | $616.60 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $575.44 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $309.03 | $575.44 | $1,047.13 |
Where Connecticut sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 17th of 51
$977
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.