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 $25.12 Median $34.67 Typical High $50.12 | Professional | None | $25.12 | $34.67 | $50.12 |
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 $20.42 Median $35.48 Typical High $56.23 | Professional | None | $20.42 | $35.48 | $56.23 |
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 $33.11 Median $48.98 Typical High $77.62 | Professional | None | $33.11 | $48.98 | $77.62 |
ConnectiCare Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | None | $51.29 | $53.70 | $53.70 |
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 $24.55 Median $44.67 Typical High $87.10 | Professional | None | $24.55 | $44.67 | $87.10 |
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 $12.59 Median $16.98 Typical High $23.44 | Professional | 52 · Reduced service | $12.59 | $16.98 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.76 Typical High $9.33 | Professional | 53 · Discontinued | $5.13 | $6.76 | $9.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $25.70 Typical High $34.67 | Professional | 54 · Surgery only | $19.05 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $5.13 Typical High $7.08 | Professional | 55 · Aftercare only | $3.80 | $5.13 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.39 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.51 | $3.39 | $4.68 |
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· 31st of 51
$43.65
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.