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 $467.74 Median $707.95 Typical High $707.95 | Professional | None | $467.74 | $707.95 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $6,918.31 | Facility | None | $1,445.44 | $3,715.35 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,000.00 | Professional | None | $436.52 | $616.60 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $912.01 Typical High $1,479.11 | Professional | 50 · Both sides | $660.69 | $912.01 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $4,677.35 | Facility | None | $1,000.00 | $3,548.13 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,148.15 | Professional | None | $588.84 | $707.95 | $1,148.15 |
ConnectiCare Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,023.29 | Facility | None | $630.96 | $851.14 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | None | $741.31 | $741.31 | $831.76 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $1,174.90 | Professional | None | $426.58 | $562.34 | $1,174.90 |
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 $234.42 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $234.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $93.33 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $346.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $69.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $46.77 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $323.59 | $489.78 | $489.78 |
Where Connecticut sits
The same service costs 8.7 times more in Oklahoma 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· 30th of 51
$661
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.