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 $204.17 Median $239.88 Typical High $371.54 | Professional | None | $204.17 | $239.88 | $371.54 |
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 $204.17 Median $295.12 Typical High $389.05 | Professional | None | $204.17 | $295.12 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $323.59 Typical High $416.87 | Facility | None | $51.29 | $323.59 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $549.54 | Professional | None | $229.09 | $323.59 | $549.54 |
ConnectiCare Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $446.68 | Professional | None | $295.12 | $346.74 | $446.68 |
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 $141.25 Median $288.40 Typical High $660.69 | Professional | None | $141.25 | $288.40 | $660.69 |
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 $112.20 Median $120.23 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $74.13 | Professional | 53 · Discontinued | $44.67 | $47.86 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $177.83 Typical High $275.42 | Professional | 54 · Surgery only | $169.82 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $35.48 Typical High $56.23 | Professional | 55 · Aftercare only | $33.88 | $35.48 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $23.99 Typical High $37.15 | Professional | 56 · Pre-op care only | $22.39 | $23.99 | $37.15 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in Maryland. 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· 13th of 51
$309
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.