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 $4,365.16 Median $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $63.10 | Professional | None | $21.38 | $21.88 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $5,888.44 Typical High $7,943.28 | Facility | None | $4,786.30 | $5,888.44 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $52.48 | Professional | None | $13.80 | $28.18 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $2,691.53 | Facility | None | $51.29 | $100.00 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $40.74 Typical High $75.86 | Professional | None | $23.99 | $40.74 | $75.86 |
ConnectiCare Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
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 $16.98 Median $34.67 Typical High $85.11 | Professional | None | $16.98 | $34.67 | $85.11 |
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 $10.47 Median $10.96 Typical High $31.62 | Professional | 52 · Reduced service | $10.47 | $10.96 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $12.59 | Professional | 53 · Discontinued | $4.27 | $4.37 | $12.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $16.22 Typical High $46.77 | Professional | 54 · Surgery only | $15.85 | $16.22 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.24 Typical High $9.33 | Professional | 55 · Aftercare only | $3.16 | $3.24 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.19 Typical High $6.31 | Professional | 56 · Pre-op care only | $2.14 | $2.19 | $6.31 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in Hawaii. 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
$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.