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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $177.83 | Professional | None | $117.49 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $295.12 | Professional | None | $114.82 | $218.78 | $295.12 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $72.44 Median $138.04 Typical High $186.21 | Professional | 62 · Two surgeons | $72.44 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $35.48 Typical High $46.77 | Professional | 80 · Assistant surgeon | $18.20 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $30.90 Typical High $39.81 | Professional | AS · PA/NP assist | $15.85 | $30.90 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $3,548.13 | Facility | None | $501.19 | $741.31 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Professional | None | $147.91 | $165.96 | $251.19 |
ConnectiCare Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $190.55 | Professional | None | $134.90 | $165.96 | $190.55 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $416.87 | Professional | None | $107.15 | $186.21 | $416.87 |
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 54 · Surgery only Typical Low $87.10 Median $134.90 Typical High $134.90 | Professional | 54 · Surgery only | $87.10 | $134.90 | $134.90 |
Where Connecticut sits
The same service costs 4.9 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· 13th of 51
$195
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.