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 $4,365.16 Median $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $25.12 | Professional | None | $14.79 | $20.89 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $4,786.30 Typical High $7,943.28 | Facility | None | $3,311.31 | $4,786.30 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $23.99 | Professional | None | $12.59 | $17.78 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $2,691.53 | Facility | None | $51.29 | $100.00 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $22.39 Typical High $33.88 | Professional | None | $19.50 | $22.39 | $33.88 |
ConnectiCare Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | None | $22.91 | $23.99 | $23.99 |
Health New England Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
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 $14.45 Median $21.38 Typical High $36.31 | Professional | None | $14.45 | $21.38 | $36.31 |
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 $8.13 Median $10.47 Typical High $11.75 | Professional | 52 · Reduced service | $8.13 | $10.47 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.17 Typical High $4.79 | Professional | 53 · Discontinued | $3.24 | $4.17 | $4.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $15.85 Typical High $17.78 | Professional | 54 · Surgery only | $12.30 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.16 Typical High $3.55 | Professional | 55 · Aftercare only | $2.45 | $3.16 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.09 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.62 | $2.09 | $2.34 |
Where Connecticut sits
The same service costs 3.9 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· 27th of 51
$20.89
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.