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 $588.84 Median $851.14 Typical High $851.14 | Professional | None | $588.84 | $851.14 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $1,288.25 Typical High $1,659.59 | Professional | None | $562.34 | $1,288.25 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,951.21 Typical High $3,890.45 | Facility | None | $851.14 | $2,951.21 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,348.96 | Professional | None | $724.44 | $812.83 | $1,348.96 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,047.13 | Professional | None | $741.31 | $870.96 | $1,047.13 |
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 $549.54 Median $891.25 Typical High $2,137.96 | Professional | None | $549.54 | $891.25 | $2,137.96 |
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 $295.12 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $295.12 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $120.23 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $446.68 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $89.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $58.88 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $416.87 | $602.56 | $602.56 |
Where Connecticut sits
The same service costs 5.6 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
$1,023
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.