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 $2,754.23 Median $4,466.84 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,466.84 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $138.04 | Professional | None | $77.62 | $112.20 | $138.04 |
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 $75.86 Median $104.71 Typical High $151.36 | Professional | None | $75.86 | $104.71 | $151.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $158.49 Typical High $229.09 | Professional | 50 · Both sides | $114.82 | $158.49 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $489.78 | Facility | None | $50.12 | $102.33 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $204.17 | Professional | None | $109.65 | $131.83 | $204.17 |
ConnectiCare Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $147.91 | Professional | None | $107.15 | $123.03 | $147.91 |
Health New England Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | None | $223.87 | $223.87 | $239.88 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $251.19 | Professional | None | $58.88 | $107.15 | $251.19 |
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 54 · Surgery only Typical Low $64.57 Median $83.18 Typical High $104.71 | Professional | 54 · Surgery only | $64.57 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $61.66 Median $77.62 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $61.66 | $77.62 | $97.72 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$112
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.