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 $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $776.25 | Professional | None | $524.81 | $776.25 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $7,943.28 | Facility | None | $2,884.03 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $1,202.26 Typical High $1,548.82 | Professional | None | $524.81 | $1,202.26 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $3,630.78 | Facility | None | $741.31 | $2,951.21 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,202.26 | Professional | None | $645.65 | $741.31 | $1,202.26 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,000.00 | Professional | None | $660.69 | $794.33 | $1,000.00 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,995.26 | Professional | None | $501.19 | $831.76 | $1,995.26 |
6 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 52 · Reduced service Typical Low $269.15 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $269.15 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $107.15 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $407.38 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $81.28 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $53.70 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $380.19 | $537.03 | $537.03 |
Where Connecticut sits
The same service costs 5.5 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· 14th of 51
$933
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.