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 Professional Modifier None Typical Low $891.25 Median $1,412.54 Typical High $1,412.54 | Professional | None | $891.25 | $1,412.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $12,589.25 | Facility | None | $3,548.13 | $4,168.69 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,000.00 | $1,479.11 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $234.42 Typical High $338.84 | Professional | 80 · Assistant surgeon | $158.49 | $234.42 | $338.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $204.17 Typical High $295.12 | Professional | AS · PA/NP assist | $141.25 | $204.17 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,995.26 | $2,089.30 |
ConnectiCare Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,238.72 | Professional | None | $954.99 | $1,479.11 | $2,238.72 |
2 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 $512.86 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $512.86 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $204.17 | $281.84 | $281.84 |
Where Connecticut sits
The same service costs 3.4 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· 13th of 51
$1,479
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.