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 $79.43 Median $154.88 Typical High $245.47 | Professional | None | $79.43 | $154.88 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $213.80 | Professional | None | $89.13 | $123.03 | $213.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $186.21 Typical High $302.00 | Professional | 50 · Both sides | $131.83 | $186.21 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $257.04 Typical High $512.86 | Professional | None | $104.71 | $257.04 | $512.86 |
ConnectiCare Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $467.74 | Professional | None | $223.87 | $245.47 | $467.74 |
Health New England Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $501.19 | Professional | None | $120.23 | $245.47 | $501.19 |
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 $194.98 Typical High $524.81 | Professional | None | $79.43 | $194.98 | $524.81 |
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 $37.15 Median $66.07 Typical High $120.23 | Professional | 52 · Reduced service | $37.15 | $66.07 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $26.30 Typical High $47.86 | Professional | 53 · Discontinued | $15.14 | $26.30 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $97.72 Typical High $181.97 | Professional | 54 · Surgery only | $56.23 | $97.72 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $19.50 Typical High $36.31 | Professional | 55 · Aftercare only | $11.22 | $19.50 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $13.18 Typical High $23.99 | Professional | 56 · Pre-op care only | $7.59 | $13.18 | $23.99 |
Where Connecticut sits
The same service costs 3.8 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· 36th of 51
$151
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.