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 $245.47 Median $323.59 Typical High $467.74 | Professional | None | $245.47 | $323.59 | $467.74 |
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 $309.03 Median $489.78 Typical High $933.25 | Professional | None | $309.03 | $489.78 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $1,380.38 | Facility | None | $501.19 | $602.56 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $602.56 | Professional | None | $302.00 | $416.87 | $602.56 |
ConnectiCare Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $645.65 | Professional | None | $398.11 | $489.78 | $645.65 |
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 $218.78 Median $416.87 Typical High $912.01 | Professional | None | $218.78 | $416.87 | $912.01 |
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 $123.03 Median $162.18 Typical High $234.42 | Professional | 52 · Reduced service | $123.03 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $64.57 Typical High $93.33 | Professional | 53 · Discontinued | $48.98 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $239.88 Typical High $346.74 | Professional | 54 · Surgery only | $186.21 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $48.98 Typical High $69.18 | Professional | 55 · Aftercare only | $36.31 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $32.36 Typical High $46.77 | Professional | 56 · Pre-op care only | $24.55 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $223.87 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $173.78 | $223.87 | $323.59 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska than in New Jersey. 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· 11th of 51
$468
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.