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 $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,548.82 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $10,964.78 Typical High $13,489.63 | Facility | None | $3,162.28 | $10,964.78 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,096.48 | $2,238.72 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $676.08 Median $1,412.54 Typical High $1,905.46 | Professional | 62 · Two surgeons | $676.08 | $1,412.54 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $354.81 Typical High $478.63 | Professional | 80 · Assistant surgeon | $169.82 | $354.81 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $309.03 Typical High $416.87 | Professional | AS · PA/NP assist | $151.36 | $309.03 | $416.87 |
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 $1,348.96 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,348.96 | $1,479.11 | $2,398.83 |
ConnectiCare Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,348.96 | $1,698.24 | $1,862.09 |
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 $1,000.00 Median $1,737.80 Typical High $3,890.45 | Professional | None | $1,000.00 | $1,737.80 | $3,890.45 |
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 $758.58 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $758.58 | $1,071.52 | $1,071.52 |
Where Connecticut sits
The same service costs 5.8 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· 11th of 51
$1,905
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.