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 $30.90 Median $79.43 Typical High $245.47 | Professional | None | $30.90 | $79.43 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,949.84 | $2,818.38 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $138.04 Typical High $380.19 | Professional | None | $52.48 | $138.04 | $380.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $22.39 Typical High $60.26 | Professional | 80 · Assistant surgeon | $8.32 | $22.39 | $60.26 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $7.24 Median $22.91 Typical High $53.70 | Professional | AS · PA/NP assist | $7.24 | $22.91 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $275.42 | Professional | None | $39.81 | $64.57 | $275.42 |
ConnectiCare Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $323.59 | Professional | None | $154.88 | $223.87 | $323.59 |
Health New England Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $60.26 | Professional | None | $25.70 | $25.70 | $60.26 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,890.45 | $7,079.46 |
United Setting Professional Modifier None Typical Low $32.36 Median $123.03 Typical High $478.63 | Professional | None | $32.36 | $123.03 | $478.63 |
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 $26.30 Median $95.50 Typical High $186.21 | Professional | 54 · Surgery only | $26.30 | $95.50 | $186.21 |
Where Connecticut sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 31st of 51
$135
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.