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 $1,698.24 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $112.20 Typical High $186.21 | Professional | None | $64.57 | $112.20 | $186.21 |
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 $48.98 Median $100.00 Typical High $154.88 | Professional | None | $48.98 | $100.00 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $190.55 Typical High $245.47 | Facility | None | $51.29 | $190.55 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $229.09 | Professional | None | $81.28 | $123.03 | $229.09 |
ConnectiCare Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $144.54 | Professional | None | $102.33 | $138.04 | $144.54 |
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 $63.10 Median $123.03 Typical High $281.84 | Professional | None | $63.10 | $123.03 | $281.84 |
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 $41.69 Median $41.69 Typical High $91.20 | Professional | 52 · Reduced service | $41.69 | $41.69 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $36.31 | Professional | 53 · Discontinued | $16.98 | $16.98 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $138.04 | Professional | 54 · Surgery only | $63.10 | $63.10 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $27.54 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $18.20 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $18.20 |
Where Connecticut sits
The same service costs 3.1 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· 22nd of 51
$123
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.