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 $181.97 Median $269.15 Typical High $338.84 | Professional | None | $181.97 | $269.15 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $436.52 | Professional | None | $186.21 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $2,290.87 Typical High $2,884.03 | Facility | None | $549.54 | $2,290.87 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $562.34 | Professional | None | $199.53 | $295.12 | $562.34 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | None | $354.81 | $354.81 | $446.68 |
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 $169.82 Median $269.15 Typical High $512.86 | Professional | None | $169.82 | $269.15 | $512.86 |
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 $102.33 Median $134.90 Typical High $169.82 | Professional | 52 · Reduced service | $102.33 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $53.70 Typical High $67.61 | Professional | 53 · Discontinued | $40.74 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $199.53 Typical High $257.04 | Professional | 54 · Surgery only | $154.88 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $40.74 Typical High $51.29 | Professional | 55 · Aftercare only | $30.90 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $26.92 Typical High $33.88 | Professional | 56 · Pre-op care only | $20.42 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $186.21 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $144.54 | $186.21 | $239.88 |
Where Connecticut sits
The same service costs 4.6 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· 27th of 51
$282
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.