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 $2,187.76 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,187.76 | $3,311.31 | $3,311.31 |
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 $2,187.76 Median $4,365.16 Typical High $5,888.44 | Professional | None | $2,187.76 | $4,365.16 | $5,888.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $2,754.23 Typical High $3,715.35 | Professional | 62 · Two surgeons | $1,380.38 | $2,754.23 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $691.83 Typical High $933.25 | Professional | 80 · Assistant surgeon | $354.81 | $691.83 | $933.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $616.60 Typical High $812.83 | Professional | AS · PA/NP assist | $309.03 | $616.60 | $812.83 |
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 $2,691.53 Median $3,019.95 Typical High $4,786.30 | Professional | None | $2,691.53 | $3,019.95 | $4,786.30 |
ConnectiCare Setting Professional Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $3,715.35 | Professional | None | $2,630.27 | $3,311.31 | $3,715.35 |
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 $1,995.26 Median $3,548.13 Typical High $7,762.47 | Professional | None | $1,995.26 | $3,548.13 | $7,762.47 |
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 $1,659.59 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,659.59 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,548.82 | $2,344.23 | $2,344.23 |
Where Connecticut sits
The same service costs 21.9 times more in Alaska than in Texas. 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
$3,715
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.