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 $263.03 Median $338.84 Typical High $446.68 | Professional | None | $263.03 | $338.84 | $446.68 |
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 $549.54 Typical High $758.58 | Professional | None | $309.03 | $549.54 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $2,187.76 | Facility | None | $707.95 | $1,380.38 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $588.84 | Professional | None | $302.00 | $426.58 | $588.84 |
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 $380.19 Median $489.78 Typical High $524.81 | Professional | None | $380.19 | $489.78 | $524.81 |
Health New England Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $398.11 Typical High $870.96 | Professional | None | $218.78 | $398.11 | $870.96 |
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 $125.89 Median $169.82 Typical High $223.87 | Professional | 52 · Reduced service | $125.89 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $67.61 Typical High $89.13 | Professional | 53 · Discontinued | $50.12 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $251.19 Typical High $331.13 | Professional | 54 · Surgery only | $190.55 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $50.12 Typical High $66.07 | Professional | 55 · Aftercare only | $38.02 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $33.88 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.70 | $33.88 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $234.42 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $177.83 | $234.42 | $309.03 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$447
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.