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 $891.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $891.25 | $1,621.81 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,445.44 Typical High $1,905.46 | Professional | None | $870.96 | $1,445.44 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,862.09 | Facility | None | $741.31 | $1,047.13 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,570.40 | Professional | None | $1,071.52 | $1,174.90 | $2,570.40 |
ConnectiCare Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,479.11 | Professional | None | $954.99 | $1,000.00 | $1,479.11 |
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 $724.44 Median $1,258.93 Typical High $2,884.03 | Professional | None | $724.44 | $1,258.93 | $2,884.03 |
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 $446.68 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $446.68 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $177.83 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $676.08 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $134.90 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $89.13 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $630.96 | $1,122.02 | $1,122.02 |
Where Connecticut sits
The same service costs 22.4 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
$1,445
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.