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 $67.61 Median $128.82 Typical High $208.93 | Professional | None | $67.61 | $128.82 | $208.93 |
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 $61.66 Median $154.88 Typical High $323.59 | Professional | None | $61.66 | $154.88 | $323.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $234.42 Typical High $446.68 | Professional | 50 · Both sides | $93.33 | $234.42 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $302.00 | Professional | None | $104.71 | $162.18 | $302.00 |
ConnectiCare Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $389.05 | Professional | None | $162.18 | $204.17 | $389.05 |
Health New England Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,890.45 | $7,079.46 |
United Setting Professional Modifier None Typical Low $79.43 Median $162.18 Typical High $346.74 | Professional | None | $79.43 | $162.18 | $346.74 |
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 $33.11 Median $64.57 Typical High $104.71 | Professional | 52 · Reduced service | $33.11 | $64.57 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $25.70 Typical High $41.69 | Professional | 53 · Discontinued | $13.18 | $25.70 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $97.72 Typical High $154.88 | Professional | 54 · Surgery only | $48.98 | $97.72 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $19.50 Typical High $31.62 | Professional | 55 · Aftercare only | $10.00 | $19.50 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $12.88 Typical High $20.89 | Professional | 56 · Pre-op care only | $6.61 | $12.88 | $20.89 |
Where Connecticut sits
The same service costs 2.6 times more in Wisconsin 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· 32nd of 51
$155
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.