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 $630.96 Median $812.83 Typical High $851.14 | Professional | None | $630.96 | $812.83 | $851.14 |
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 $501.19 Median $870.96 Typical High $1,174.90 | Professional | None | $501.19 | $870.96 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,318.26 Typical High $1,778.28 | Professional | 50 · Both sides | $741.31 | $1,318.26 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,148.15 | Facility | None | $457.09 | $691.83 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $1,148.15 Typical High $1,778.28 | Professional | None | $436.52 | $1,148.15 | $1,778.28 |
ConnectiCare Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,819.70 | Professional | None | $389.05 | $645.65 | $1,819.70 |
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 $489.78 Median $794.33 Typical High $1,659.59 | Professional | None | $489.78 | $794.33 | $1,659.59 |
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 $316.23 Median $398.11 Typical High $426.58 | Professional | 52 · Reduced service | $316.23 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $158.49 Typical High $169.82 | Professional | 53 · Discontinued | $125.89 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $602.56 Typical High $645.65 | Professional | 54 · Surgery only | $478.63 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $120.23 Typical High $128.82 | Professional | 55 · Aftercare only | $95.50 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $79.43 Typical High $85.11 | Professional | 56 · Pre-op care only | $63.10 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $562.34 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $446.68 | $562.34 | $602.56 |
Where Connecticut sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 18th of 51
$851
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.