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 $28.84 Median $41.69 Typical High $69.18 | Professional | None | $28.84 | $41.69 | $69.18 |
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 $23.44 Median $46.77 Typical High $69.18 | Professional | None | $23.44 | $46.77 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $104.71 | Facility | None | $50.12 | $81.28 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $97.72 | Professional | None | $38.90 | $60.26 | $97.72 |
ConnectiCare Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $67.61 | Professional | None | $64.57 | $67.61 | $67.61 |
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 $28.18 Median $52.48 Typical High $109.65 | Professional | None | $28.18 | $52.48 | $109.65 |
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 $17.78 Median $17.78 Typical High $33.88 | Professional | 52 · Reduced service | $17.78 | $17.78 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $13.49 | Professional | 53 · Discontinued | $7.08 | $7.08 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $26.30 Typical High $51.29 | Professional | 54 · Surgery only | $26.30 | $26.30 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $10.23 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $6.76 |
Where Connecticut sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 21st of 51
$56.23
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.