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 $69.18 Median $107.15 Typical High $190.55 | Professional | None | $69.18 | $107.15 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,890.45 Typical High $9,120.11 | Facility | None | $3,162.28 | $3,890.45 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $151.36 Typical High $269.15 | Professional | None | $60.26 | $151.36 | $269.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $229.09 Typical High $389.05 | Professional | 50 · Both sides | $91.20 | $229.09 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,548.82 Typical High $1,905.46 | Facility | None | $549.54 | $1,548.82 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $331.13 | Professional | None | $102.33 | $199.53 | $331.13 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $331.13 | Professional | None | $177.83 | $177.83 | $331.13 |
Health New England Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
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 $66.07 Median $141.25 Typical High $302.00 | Professional | None | $66.07 | $141.25 | $302.00 |
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 $36.31 Median $44.67 Typical High $95.50 | Professional | 52 · Reduced service | $36.31 | $44.67 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.78 Typical High $38.02 | Professional | 53 · Discontinued | $14.45 | $17.78 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $66.07 Typical High $144.54 | Professional | 54 · Surgery only | $53.70 | $66.07 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.18 Typical High $28.84 | Professional | 55 · Aftercare only | $10.96 | $13.18 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.91 Typical High $19.05 | Professional | 56 · Pre-op care only | $7.24 | $8.91 | $19.05 |
Where Connecticut sits
The same service costs 4.9 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· 22nd of 51
$162
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.