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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $575.44 | Professional | None | $380.19 | $575.44 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $15,848.93 Typical High $18,620.87 | Facility | None | $7,585.78 | $15,848.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $1,023.29 | Professional | None | $436.52 | $758.58 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $275.42 Median $478.63 Typical High $645.65 | Professional | 62 · Two surgeons | $275.42 | $478.63 | $645.65 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $123.03 Typical High $162.18 | Professional | 80 · Assistant surgeon | $69.18 | $123.03 | $162.18 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $107.15 Typical High $144.54 | Professional | AS · PA/NP assist | $60.26 | $107.15 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $851.14 | Professional | None | $478.63 | $537.03 | $851.14 |
ConnectiCare Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $645.65 | Professional | None | $467.74 | $575.44 | $645.65 |
Health New England Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | None | $602.56 | $602.56 | $645.65 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $10,471.29 Typical High $16,218.10 | Facility | None | $6,456.54 | $10,471.29 | $16,218.10 |
United Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $1,348.96 | Professional | None | $346.74 | $602.56 | $1,348.96 |
2 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 54 · Surgery only Typical Low $288.40 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $288.40 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $269.15 | $407.38 | $407.38 |
Where Connecticut sits
The same service costs 4.2 times more in Wyoming than in Utah. 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· 12th of 51
$646
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.