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 $380.19 Median $524.81 Typical High $691.83 | Professional | None | $380.19 | $524.81 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,317.64 Typical High $16,218.10 | Facility | None | $4,786.30 | $8,317.64 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $794.33 Typical High $1,148.15 | Professional | None | $446.68 | $794.33 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,165.95 Typical High $7,762.47 | Facility | None | $741.31 | $6,165.95 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $870.96 | Professional | None | $436.52 | $602.56 | $870.96 |
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 $562.34 Median $741.31 Typical High $794.33 | Professional | None | $562.34 | $741.31 | $794.33 |
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 $331.13 Median $602.56 Typical High $1,318.26 | Professional | None | $331.13 | $602.56 | $1,318.26 |
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 $190.55 Median $263.03 Typical High $346.74 | Professional | 52 · Reduced service | $190.55 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $104.71 Typical High $138.04 | Professional | 53 · Discontinued | $75.86 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $389.05 Typical High $524.81 | Professional | 54 · Surgery only | $281.84 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $77.62 Typical High $104.71 | Professional | 55 · Aftercare only | $56.23 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $52.48 Typical High $69.18 | Professional | 56 · Pre-op care only | $38.02 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $363.08 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $263.03 | $363.08 | $489.78 |
Where Connecticut sits
The same service costs 4.0 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
$692
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.