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 $478.63 Median $691.83 Typical High $691.83 | Professional | None | $478.63 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $1,148.15 | Professional | None | $407.38 | $562.34 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $89.13 Typical High $181.97 | Professional | 80 · Assistant surgeon | $64.57 | $89.13 | $181.97 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $77.62 Typical High $162.18 | Professional | AS · PA/NP assist | $56.23 | $77.62 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $4,897.79 Typical High $6,760.83 | Facility | None | $1,000.00 | $4,897.79 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $1,122.02 | Professional | None | $549.54 | $676.08 | $1,122.02 |
ConnectiCare Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $758.58 | Professional | None | $446.68 | $707.95 | $758.58 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $1,174.90 | Professional | None | $426.58 | $630.96 | $1,174.90 |
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 $354.81 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $354.81 | $512.86 | $512.86 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska than in New York. 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
$631
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.