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 $1,659.59 Median $2,754.23 Typical High $2,754.23 | Professional | None | $1,659.59 | $2,754.23 | $2,754.23 |
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 $1,584.89 Median $2,454.71 Typical High $3,548.13 | Professional | None | $1,584.89 | $2,454.71 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,000.00 Median $1,513.56 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,000.00 | $1,513.56 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $4,570.88 Typical High $6,760.83 | Facility | None | $1,000.00 | $4,570.88 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $4,073.80 | Professional | None | $2,187.76 | $2,511.89 | $4,073.80 |
ConnectiCare Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,235.94 | Professional | None | $2,754.23 | $2,754.23 | $3,235.94 |
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 $1,513.56 Median $2,238.72 Typical High $5,495.41 | Professional | None | $1,513.56 | $2,238.72 | $5,495.41 |
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 $912.01 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $912.01 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $363.08 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,380.38 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $275.42 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $181.97 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,949.84 | $1,949.84 |
Where Connecticut sits
The same service costs 6.6 times more in Alaska than in Texas. 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· 14th of 51
$2,754
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.