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 $1,698.24 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $338.84 | Professional | None | $169.82 | $223.87 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $7,762.47 | Facility | None | $1,819.70 | $2,884.03 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $891.25 | Professional | None | $281.84 | $478.63 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,380.38 | Facility | None | $512.86 | $676.08 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $549.54 | Professional | None | $165.96 | $229.09 | $549.54 |
ConnectiCare Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $588.84 | Professional | None | $288.40 | $354.81 | $588.84 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $165.96 Median $309.03 Typical High $741.31 | Professional | None | $165.96 | $309.03 | $741.31 |
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 $91.20 Median $112.20 Typical High $144.54 | Professional | 52 · Reduced service | $91.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $57.54 | Professional | 53 · Discontinued | $36.31 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $165.96 Typical High $213.80 | Professional | 54 · Surgery only | $134.90 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $33.88 Typical High $42.66 | Professional | 55 · Aftercare only | $26.92 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $22.39 Typical High $28.84 | Professional | 56 · Pre-op care only | $18.20 | $22.39 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $154.88 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $125.89 | $154.88 | $199.53 |
Where Connecticut sits
The same service costs 4.5 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· 14th of 51
$347
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.