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 $2,754.23 Median $4,466.84 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,466.84 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $24.55 Typical High $37.15 | Professional | None | $14.79 | $24.55 | $37.15 |
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 $12.30 Median $27.54 Typical High $40.74 | Professional | None | $12.30 | $27.54 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $1,000.00 | Facility | None | $50.12 | $51.29 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $53.70 | Professional | None | $20.42 | $33.88 | $53.70 |
ConnectiCare Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None | $38.02 | $39.81 | $39.81 |
Health New England Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
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 $28.18 Typical High $66.07 | Professional | None | $14.45 | $28.18 | $66.07 |
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 $7.59 Median $10.23 Typical High $16.98 | Professional | 52 · Reduced service | $7.59 | $10.23 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $4.17 Typical High $6.76 | Professional | 53 · Discontinued | $3.02 | $4.17 | $6.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.22 Median $15.49 Typical High $25.12 | Professional | 54 · Surgery only | $11.22 | $15.49 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $3.09 Typical High $5.01 | Professional | 55 · Aftercare only | $2.24 | $3.09 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $2.04 Typical High $3.39 | Professional | 56 · Pre-op care only | $1.51 | $2.04 | $3.39 |
Where Connecticut sits
The same service costs 3.5 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
$30.90
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.