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 $229.09 Median $257.04 Typical High $398.11 | Professional | None | $229.09 | $257.04 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $309.03 | Professional | None | $165.96 | $229.09 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $1,548.82 | Facility | None | $501.19 | $1,023.29 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $562.34 | Professional | None | $218.78 | $389.05 | $562.34 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $457.09 | Professional | None | $257.04 | $398.11 | $457.09 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $676.08 | Professional | None | $141.25 | $295.12 | $676.08 |
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 $114.82 Median $128.82 Typical High $199.53 | Professional | 52 · Reduced service | $114.82 | $128.82 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $79.43 | Professional | 53 · Discontinued | $45.71 | $51.29 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $190.55 Typical High $295.12 | Professional | 54 · Surgery only | $173.78 | $190.55 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.02 Typical High $58.88 | Professional | 55 · Aftercare only | $34.67 | $38.02 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $39.81 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $177.83 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $162.18 | $177.83 | $275.42 |
Where Connecticut sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 30th of 51
$257
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.