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 $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $630.96 | Professional | None | $467.74 | $630.96 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $7,079.46 | Facility | None | $2,754.23 | $4,168.69 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $891.25 | Professional | None | $457.09 | $645.65 | $891.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $398.11 Typical High $562.34 | Professional | 62 · Two surgeons | $288.40 | $398.11 | $562.34 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $102.33 Typical High $144.54 | Professional | 80 · Assistant surgeon | $74.13 | $102.33 | $144.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $89.13 Typical High $125.89 | Professional | AS · PA/NP assist | $64.57 | $89.13 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,265.80 | Facility | None | $501.19 | $1,000.00 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,122.02 | Professional | None | $602.56 | $758.58 | $1,122.02 |
ConnectiCare Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $870.96 | Professional | None | $660.69 | $660.69 | $870.96 |
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 $457.09 Median $691.83 Typical High $1,513.56 | Professional | None | $457.09 | $691.83 | $1,513.56 |
5 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 $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $234.42 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $93.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $346.74 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $69.18 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $46.77 | $63.10 | $63.10 |
Where Connecticut sits
The same service costs 4.3 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· 15th of 51
$741
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.