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 $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $114.82 | Professional | None | $64.57 | $75.86 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $117.49 | Professional | None | $61.66 | $81.28 | $117.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $123.03 Typical High $177.83 | Professional | 50 · Both sides | $93.33 | $123.03 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $128.82 Typical High $165.96 | Facility | None | $51.29 | $128.82 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $165.96 | Professional | None | $66.07 | $93.33 | $165.96 |
ConnectiCare Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $131.83 | Professional | None | $97.72 | $107.15 | $131.83 |
Health New England Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $45.71 Median $89.13 Typical High $208.93 | Professional | None | $45.71 | $89.13 | $208.93 |
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 $34.67 Median $37.15 Typical High $57.54 | Professional | 52 · Reduced service | $34.67 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.79 Typical High $22.91 | Professional | 53 · Discontinued | $14.13 | $14.79 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $56.23 Typical High $85.11 | Professional | 54 · Surgery only | $52.48 | $56.23 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.22 Typical High $17.38 | Professional | 55 · Aftercare only | $10.47 | $11.22 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.41 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.08 | $7.41 | $11.48 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 16th of 51
$93.33
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.