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 $3,311.31 Median $4,570.88 Typical High $8,128.31 | Facility | None | $3,311.31 | $4,570.88 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $489.78 | Professional | None | $309.03 | $489.78 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $707.95 Typical High $933.25 | Professional | None | $331.13 | $707.95 | $933.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $204.17 Median $446.68 Typical High $588.84 | Professional | 62 · Two surgeons | $204.17 | $446.68 | $588.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $112.20 Typical High $151.36 | Professional | 80 · Assistant surgeon | $50.12 | $112.20 | $151.36 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $97.72 Typical High $131.83 | Professional | AS · PA/NP assist | $44.67 | $97.72 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $2,290.87 Typical High $2,884.03 | Facility | None | $549.54 | $2,290.87 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $724.44 | Professional | None | $398.11 | $446.68 | $724.44 |
ConnectiCare Setting Professional Modifier None Typical Low $416.87 Median $501.19 Typical High $588.84 | Professional | None | $416.87 | $501.19 | $588.84 |
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 $295.12 Median $501.19 Typical High $1,148.15 | Professional | None | $295.12 | $501.19 | $1,148.15 |
1 more rate 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 78 · Unplanned return to OR Typical Low $218.78 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $218.78 | $338.84 | $338.84 |
Where Connecticut sits
The same service costs 5.2 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· 12th of 51
$589
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.