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 $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $707.95 | Professional | None | $489.78 | $489.78 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $12,022.64 Typical High $14,125.38 | Facility | None | $2,884.03 | $12,022.64 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,258.93 | Professional | None | $645.65 | $812.83 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $407.38 Median $512.86 Typical High $794.33 | Professional | 62 · Two surgeons | $407.38 | $512.86 | $794.33 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $128.82 Typical High $199.53 | Professional | 80 · Assistant surgeon | $102.33 | $128.82 | $199.53 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $112.20 Typical High $173.78 | Professional | AS · PA/NP assist | $89.13 | $112.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,230.27 Typical High $2,137.96 | Professional | None | $562.34 | $1,230.27 | $2,137.96 |
ConnectiCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,122.02 | $1,659.59 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,288.25 Typical High $2,884.03 | Professional | None | $707.95 | $1,288.25 | $2,884.03 |
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 $371.54 Median $371.54 Typical High $537.03 | Professional | 54 · Surgery only | $371.54 | $371.54 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $501.19 |
Where Connecticut sits
The same service costs 8.5 times more in Alaska 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· 32nd of 51
$813
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.