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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $190.55 | Professional | None | $97.72 | $138.04 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $8,128.31 Typical High $17,782.79 | Facility | None | $3,548.13 | $8,128.31 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $199.53 | Professional | None | $81.28 | $134.90 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $1,000.00 | Facility | None | $190.55 | $223.87 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $257.04 | Professional | None | $117.49 | $173.78 | $257.04 |
ConnectiCare Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | None | $190.55 | $199.53 | $199.53 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $93.33 Median $173.78 Typical High $295.12 | Professional | None | $93.33 | $173.78 | $295.12 |
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 $60.26 Median $60.26 Typical High $93.33 | Professional | 52 · Reduced service | $60.26 | $60.26 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | 53 · Discontinued | $23.99 | $23.99 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $141.25 | Professional | 54 · Surgery only | $89.13 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $28.18 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $18.62 |
Where Connecticut sits
The same service costs 3.2 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· 28th of 51
$158
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.