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 $3,467.37 Median $5,248.07 Typical High $8,128.31 | Facility | None | $3,467.37 | $5,248.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $575.44 | Professional | None | $380.19 | $575.44 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $11,481.54 Typical High $13,803.84 | Facility | None | $2,818.38 | $11,481.54 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $724.44 Typical High $954.99 | Professional | None | $371.54 | $724.44 | $954.99 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $234.42 Median $446.68 Typical High $602.56 | Professional | 62 · Two surgeons | $234.42 | $446.68 | $602.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $114.82 Typical High $154.88 | Professional | 80 · Assistant surgeon | $58.88 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $100.00 Typical High $134.90 | Professional | AS · PA/NP assist | $51.29 | $100.00 | $134.90 |
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 $489.78 Median $575.44 Typical High $831.76 | Professional | None | $489.78 | $575.44 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $616.60 | Professional | None | $436.52 | $537.03 | $616.60 |
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 $338.84 Median $602.56 Typical High $1,348.96 | Professional | None | $338.84 | $602.56 | $1,348.96 |
3 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 $281.84 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $281.84 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $38.02 | $57.54 | $57.54 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 10th of 51
$661
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.