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 $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $812.83 | Professional | None | $602.56 | $812.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $1,071.52 | Professional | None | $446.68 | $851.14 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $1,258.93 Typical High $1,584.89 | Professional | 50 · Both sides | $676.08 | $1,258.93 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,630.78 Typical High $4,786.30 | Facility | None | $1,000.00 | $3,630.78 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,096.48 | Professional | None | $446.68 | $660.69 | $1,096.48 |
ConnectiCare Setting Facility Modifier None Typical Low $724.44 Median $954.99 Typical High $1,174.90 | Facility | None | $724.44 | $954.99 | $1,174.90 |
ConnectiCare Setting Professional Modifier None Typical Low $316.23 Median $524.81 Typical High $831.76 | Professional | None | $316.23 | $524.81 | $831.76 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $1,659.59 | Professional | None | $467.74 | $616.60 | $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 $302.00 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $302.00 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $120.23 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $446.68 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $91.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $60.26 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $416.87 | $562.34 | $562.34 |
Where Connecticut sits
The same service costs 7.9 times more in Wyoming 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· 20th of 51
$813
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.