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 $51.29 Median $125.89 Typical High $199.53 | Professional | None | $51.29 | $125.89 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $11,748.98 | Facility | None | $8,912.51 | $8,912.51 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $144.54 | Professional | None | $60.26 | $83.18 | $144.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $125.89 Typical High $204.17 | Professional | 50 · Both sides | $91.20 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $213.80 Typical High $331.13 | Professional | None | $72.44 | $213.80 | $331.13 |
ConnectiCare Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $389.05 | Professional | None | $186.21 | $245.47 | $389.05 |
Health New England Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Health New England Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $158.49 | Professional | None | $75.86 | $91.20 | $158.49 |
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 $53.70 Median $154.88 Typical High $416.87 | Professional | None | $53.70 | $154.88 | $416.87 |
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 $25.12 Median $54.95 Typical High $97.72 | Professional | 52 · Reduced service | $25.12 | $54.95 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $21.88 Typical High $38.90 | Professional | 53 · Discontinued | $10.23 | $21.88 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $83.18 Typical High $147.91 | Professional | 54 · Surgery only | $38.02 | $83.18 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $16.60 Typical High $29.51 | Professional | 55 · Aftercare only | $7.59 | $16.60 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $10.96 Typical High $19.50 | Professional | 56 · Pre-op care only | $5.13 | $10.96 | $19.50 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in Virginia. 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· 42nd of 51
$112
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.