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 $316.23 Median $562.34 Typical High $562.34 | Professional | None | $316.23 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $2,818.38 Typical High $4,466.84 | Facility | None | $831.76 | $2,818.38 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $407.38 Typical High $1,000.00 | Professional | None | $251.19 | $407.38 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $891.25 Typical High $1,479.11 | Facility | None | $512.86 | $891.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $977.24 | Professional | None | $457.09 | $707.95 | $977.24 |
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 $275.42 Median $501.19 Typical High $812.83 | Professional | None | $275.42 | $501.19 | $812.83 |
5 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 $158.49 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $158.49 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $63.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $239.88 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $47.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $31.62 | $56.23 | $56.23 |
Where Connecticut sits
The same service costs 4.1 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· 34th of 51
$479
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.