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 $61.66 Median $131.83 Typical High $199.53 | Professional | None | $61.66 | $131.83 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $131.83 Typical High $173.78 | Professional | None | $44.67 | $131.83 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $269.15 Typical High $1,380.38 | Facility | None | $229.09 | $269.15 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $173.78 Typical High $295.12 | Professional | None | $83.18 | $173.78 | $295.12 |
ConnectiCare Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $190.55 | Professional | None | $181.97 | $190.55 | $190.55 |
Health New England Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $58.88 Median $123.03 Typical High $302.00 | Professional | None | $58.88 | $123.03 | $302.00 |
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 $38.02 Median $38.02 Typical High $95.50 | Professional | 52 · Reduced service | $38.02 | $38.02 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $38.02 | Professional | 53 · Discontinued | $15.14 | $15.14 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $57.54 Typical High $144.54 | Professional | 54 · Surgery only | $57.54 | $57.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $28.84 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $19.05 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $19.05 |
Where Connecticut sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 27th of 51
$148
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.