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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $3,467.37 | Professional | None | $616.60 | $691.83 | $3,467.37 |
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 $575.44 Median $776.25 Typical High $1,819.70 | Professional | None | $575.44 | $776.25 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,148.15 Typical High $1,621.81 | Professional | 50 · Both sides | $851.14 | $1,148.15 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,244.36 Typical High $8,912.51 | Facility | None | $851.14 | $7,244.36 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $1,905.46 Typical High $4,677.35 | Professional | None | $346.74 | $1,905.46 | $4,677.35 |
ConnectiCare Setting Professional Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $3,981.07 | Professional | None | $1,584.89 | $2,630.27 | $3,981.07 |
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 $457.09 Median $1,949.84 Typical High $7,244.36 | Professional | None | $457.09 | $1,949.84 | $7,244.36 |
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 $309.03 Median $338.84 Typical High $1,737.80 | Professional | 52 · Reduced service | $309.03 | $338.84 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $691.83 | Professional | 53 · Discontinued | $123.03 | $138.04 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $512.86 Typical High $2,630.27 | Professional | 54 · Surgery only | $467.74 | $512.86 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $102.33 Typical High $524.81 | Professional | 55 · Aftercare only | $93.33 | $102.33 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $69.18 Typical High $346.74 | Professional | 56 · Pre-op care only | $61.66 | $69.18 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $478.63 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $436.52 | $478.63 | $2,454.71 |
Where Connecticut sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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· 43rd of 51
$891
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.