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 $72.44 Median $123.03 Typical High $204.17 | Professional | None | $72.44 | $123.03 | $204.17 |
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 $58.88 Median $125.89 Typical High $173.78 | Professional | None | $58.88 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $218.78 Typical High $288.40 | Facility | None | $51.29 | $218.78 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $263.03 | Professional | None | $87.10 | $131.83 | $263.03 |
ConnectiCare Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $162.18 | Professional | None | $102.33 | $154.88 | $162.18 |
Health New England Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $70.79 Median $144.54 Typical High $316.23 | Professional | None | $70.79 | $144.54 | $316.23 |
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 $48.98 Median $48.98 Typical High $102.33 | Professional | 52 · Reduced service | $48.98 | $48.98 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $40.74 | Professional | 53 · Discontinued | $19.95 | $19.95 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | 54 · Surgery only | $74.13 | $74.13 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $30.90 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $20.42 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $20.42 |
Where Connecticut sits
The same service costs 3.2 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· 29th of 51
$135
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.