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 $2.69 Median $4.68 Typical High $8.71 | Professional | None | $2.69 | $4.68 | $8.71 |
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 $1.58 Median $5.25 Typical High $9.12 | Professional | None | $1.58 | $5.25 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $501.19 Typical High $2,691.53 | Facility | None | $51.29 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $10.96 Typical High $14.45 | Professional | None | $3.24 | $10.96 | $14.45 |
ConnectiCare Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $13.49 | Professional | None | $8.91 | $9.33 | $13.49 |
Health New England Setting Professional Modifier None Typical Low $7.24 Median $27.54 Typical High $131.83 | Professional | None | $7.24 | $27.54 | $131.83 |
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 $2.04 Median $5.89 Typical High $12.88 | Professional | None | $2.04 | $5.89 | $12.88 |
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 $1.55 Median $1.82 Typical High $3.63 | Professional | 52 · Reduced service | $1.55 | $1.82 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.72 Typical High $1.45 | Professional | 53 · Discontinued | $0.62 | $0.72 | $1.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.29 Median $2.69 Typical High $5.37 | Professional | 54 · Surgery only | $2.29 | $2.69 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.54 Typical High $1.07 | Professional | 55 · Aftercare only | $0.46 | $0.54 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.36 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.31 | $0.36 | $0.72 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Nebraska. 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· 35th of 51
$6.17
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.