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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $2,754.23 | Professional | None | $602.56 | $630.96 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $13,182.57 Typical High $16,218.10 | Facility | None | $977.24 | $13,182.57 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $1,412.54 Typical High $3,630.78 | Professional | None | $602.56 | $1,412.54 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $380.19 Median $851.14 Typical High $2,238.72 | Professional | 62 · Two surgeons | $380.19 | $851.14 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $7,943.28 | Facility | None | $1,000.00 | $6,165.95 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $2,238.72 Typical High $4,073.80 | Professional | None | $691.83 | $2,238.72 | $4,073.80 |
ConnectiCare Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $4,570.88 | Facility | None | $630.96 | $1,023.29 | $4,570.88 |
ConnectiCare Setting Professional Modifier None Typical Low $3,162.28 Median $3,630.78 Typical High $11,748.98 | Professional | None | $3,162.28 | $3,630.78 | $11,748.98 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $549.54 Median $1,659.59 Typical High $5,128.61 | Professional | None | $549.54 | $1,659.59 | $5,128.61 |
4 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 54 · Surgery only Typical Low $457.09 Median $467.74 Typical High $2,089.30 | Professional | 54 · Surgery only | $457.09 | $467.74 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $93.33 Typical High $416.87 | Professional | 55 · Aftercare only | $91.20 | $93.33 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $63.10 Typical High $275.42 | Professional | 56 · Pre-op care only | $60.26 | $63.10 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $436.52 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $426.58 | $436.52 | $1,949.84 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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· 20th of 51
$1,862
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.