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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $660.69 | Professional | None | $416.87 | $416.87 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $28,183.83 Typical High $74,131.02 | Facility | None | $2,884.03 | $28,183.83 | $74,131.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,202.26 | Professional | None | $562.34 | $741.31 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $346.74 Median $467.74 Typical High $758.58 | Professional | 62 · Two surgeons | $346.74 | $467.74 | $758.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $117.49 Typical High $190.55 | Professional | 80 · Assistant surgeon | $89.13 | $117.49 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $104.71 Typical High $165.96 | Professional | AS · PA/NP assist | $77.62 | $104.71 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $20,417.38 Typical High $25,703.96 | Facility | None | $1,000.00 | $20,417.38 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $1,949.84 | Professional | None | $524.81 | $1,096.48 | $1,949.84 |
ConnectiCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,230.27 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $9,549.93 Typical High $18,197.01 | Facility | None | $1,348.96 | $9,549.93 | $18,197.01 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,479.11 Typical High $3,235.94 | Professional | None | $691.83 | $1,479.11 | $3,235.94 |
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 $309.03 Median $309.03 Typical High $478.63 | Professional | 54 · Surgery only | $309.03 | $309.03 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $446.68 |
Where Connecticut sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 31st of 51
$741
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.