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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $43.65 | Professional | None | $25.70 | $31.62 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,882.50 Median $15,135.61 Typical High $22,387.21 | Facility | None | $12,882.50 | $15,135.61 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $43.65 | Professional | None | $21.38 | $31.62 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $2,691.53 | Facility | None | $501.19 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $57.54 | Professional | None | $28.18 | $40.74 | $57.54 |
ConnectiCare Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None | $41.69 | $42.66 | $42.66 |
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 $39.81 Typical High $64.57 | Professional | None | $24.55 | $39.81 | $64.57 |
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 $14.13 Median $15.85 Typical High $21.88 | Professional | 52 · Reduced service | $14.13 | $15.85 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $8.71 | Professional | 53 · Discontinued | $5.62 | $6.31 | $8.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $23.99 Typical High $32.36 | Professional | 54 · Surgery only | $20.89 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.79 Typical High $6.46 | Professional | 55 · Aftercare only | $4.17 | $4.79 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $3.16 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.82 | $3.16 | $4.37 |
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· 36th of 51
$33.88
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.