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 $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $371.54 | Professional | None | $144.54 | $186.21 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $11,481.54 Typical High $13,803.84 | Facility | None | $6,309.57 | $11,481.54 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $288.40 Typical High $524.81 | Professional | None | $123.03 | $288.40 | $524.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $426.58 Typical High $724.44 | Professional | 50 · Both sides | $186.21 | $426.58 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,311.31 Typical High $4,265.80 | Facility | None | $851.14 | $3,311.31 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $602.56 | Professional | None | $190.55 | $239.88 | $602.56 |
ConnectiCare Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $588.84 | Professional | None | $302.00 | $302.00 | $588.84 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $588.84 | Professional | None | $131.83 | $269.15 | $588.84 |
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 $72.44 Median $93.33 Typical High $186.21 | Professional | 52 · Reduced service | $72.44 | $93.33 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $37.15 Typical High $74.13 | Professional | 53 · Discontinued | $28.84 | $37.15 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $138.04 Typical High $281.84 | Professional | 54 · Surgery only | $107.15 | $138.04 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $27.54 Typical High $56.23 | Professional | 55 · Aftercare only | $21.38 | $27.54 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $18.62 Typical High $37.15 | Professional | 56 · Pre-op care only | $14.45 | $18.62 | $37.15 |
Where Connecticut sits
The same service costs 5.8 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· 28th of 51
$288
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.