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 $125.89 Median $173.78 Typical High $229.09 | Professional | None | $125.89 | $173.78 | $229.09 |
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 $154.88 Median $239.88 Typical High $331.13 | Professional | None | $154.88 | $239.88 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $1,380.38 | Facility | None | $251.19 | $295.12 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $398.11 | Professional | None | $169.82 | $208.93 | $398.11 |
ConnectiCare Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | None | $239.88 | $239.88 | $371.54 |
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 $147.91 Median $229.09 Typical High $426.58 | Professional | None | $147.91 | $229.09 | $426.58 |
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 $79.43 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $125.89 Typical High $144.54 | Professional | 54 · Surgery only | $120.23 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $25.12 Typical High $28.84 | Professional | 55 · Aftercare only | $23.99 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $16.60 Typical High $19.05 | Professional | 56 · Pre-op care only | $15.85 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $117.49 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $112.20 | $117.49 | $134.90 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 17th of 51
$229
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.