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 $2,089.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,089.30 | $3,090.30 | $3,090.30 |
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 $2,187.76 Median $4,365.16 Typical High $5,754.40 | Professional | None | $2,187.76 | $4,365.16 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $2,754.23 Typical High $3,630.78 | Professional | 62 · Two surgeons | $1,348.96 | $2,754.23 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $691.83 Typical High $933.25 | Professional | 80 · Assistant surgeon | $338.84 | $691.83 | $933.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $602.56 Typical High $812.83 | Professional | AS · PA/NP assist | $302.00 | $602.56 | $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 $2,630.27 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,630.27 | $2,951.21 | $4,786.30 |
ConnectiCare Setting Professional Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,570.40 | $3,162.28 | $3,630.78 |
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 $3,467.37 Typical High $7,762.47 | Professional | None | $1,995.26 | $3,467.37 | $7,762.47 |
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 $1,479.11 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,187.76 | $2,187.76 |
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· 11th 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.