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 $93.33 Median $117.49 Typical High $177.83 | Professional | None | $93.33 | $117.49 | $177.83 |
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 $77.62 Median $123.03 Typical High $181.97 | Professional | None | $77.62 | $123.03 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $181.97 Typical High $1,000.00 | Facility | None | $158.49 | $181.97 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $257.04 | Professional | None | $125.89 | $169.82 | $257.04 |
ConnectiCare Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | None | $177.83 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $288.40 | Professional | None | $93.33 | $158.49 | $288.40 |
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 $57.54 Median $58.88 Typical High $89.13 | Professional | 52 · Reduced service | $57.54 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $35.48 | Professional | 53 · Discontinued | $23.44 | $23.44 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | 54 · Surgery only | $87.10 | $87.10 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $26.92 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.75 Typical High $17.78 | Professional | 56 · Pre-op care only | $11.48 | $11.75 | $17.78 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 33rd of 51
$145
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.