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 $616.60 | Professional | None | $416.87 | $416.87 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $15,848.93 Typical High $18,620.87 | Facility | None | $1,122.02 | $15,848.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,202.26 | Professional | None | $501.19 | $630.96 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $316.23 Median $398.11 Typical High $758.58 | Professional | 62 · Two surgeons | $316.23 | $398.11 | $758.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $100.00 Typical High $190.55 | Professional | 80 · Assistant surgeon | $79.43 | $100.00 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $89.13 Typical High $165.96 | Professional | AS · PA/NP assist | $70.79 | $89.13 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $10,471.29 Typical High $13,182.57 | Facility | None | $1,000.00 | $10,471.29 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,000.00 Typical High $1,737.80 | Professional | None | $489.78 | $1,000.00 | $1,737.80 |
ConnectiCare Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,905.46 | Professional | None | $870.96 | $1,122.02 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $524.81 Median $1,412.54 Typical High $3,235.94 | Professional | None | $524.81 | $1,412.54 | $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 $457.09 | Professional | 54 · Surgery only | $309.03 | $309.03 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $426.58 |
Where Connecticut sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 29th of 51
$676
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.