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 $67.61 Median $104.71 Typical High $173.78 | Professional | None | $67.61 | $104.71 | $173.78 |
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 $44.67 Median $100.00 Typical High $186.21 | Professional | None | $44.67 | $100.00 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $134.90 Typical High $173.78 | Facility | None | $51.29 | $134.90 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $245.47 | Professional | None | $102.33 | $165.96 | $245.47 |
ConnectiCare Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | None | $177.83 | $177.83 | $204.17 |
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 $52.48 Median $107.15 Typical High $213.80 | Professional | None | $52.48 | $107.15 | $213.80 |
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 $37.15 Median $43.65 Typical High $77.62 | Professional | 52 · Reduced service | $37.15 | $43.65 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $30.90 | Professional | 53 · Discontinued | $14.79 | $17.38 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $66.07 Typical High $114.82 | Professional | 54 · Surgery only | $54.95 | $66.07 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.18 Typical High $22.91 | Professional | 55 · Aftercare only | $10.96 | $13.18 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.71 Typical High $15.49 | Professional | 56 · Pre-op care only | $7.41 | $8.71 | $15.49 |
Where Connecticut sits
The same service costs 2.8 times more in Alaska than in Pennsylvania. 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· 29th of 51
$110
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.