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 $407.38 Median $616.60 Typical High $616.60 | Professional | None | $407.38 | $616.60 | $616.60 |
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 $416.87 Median $812.83 Typical High $1,096.48 | Professional | None | $416.87 | $812.83 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $263.03 Median $512.86 Typical High $691.83 | Professional | 62 · Two surgeons | $263.03 | $512.86 | $691.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $128.82 Typical High $173.78 | Professional | 80 · Assistant surgeon | $66.07 | $128.82 | $173.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $114.82 Typical High $151.36 | Professional | AS · PA/NP assist | $57.54 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $912.01 | Professional | None | $512.86 | $575.44 | $912.01 |
ConnectiCare Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $691.83 | Professional | None | $489.78 | $616.60 | $691.83 |
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 $371.54 Median $645.65 Typical High $1,445.44 | Professional | None | $371.54 | $645.65 | $1,445.44 |
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 $309.03 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $309.03 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $281.84 | $436.52 | $436.52 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska 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
$692
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.