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 $107.15 Median $151.36 Typical High $204.17 | Professional | None | $107.15 | $151.36 | $204.17 |
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 $114.82 Median $181.97 Typical High $239.88 | Professional | None | $114.82 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $257.04 Typical High $354.81 | Professional | 50 · Both sides | $173.78 | $257.04 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $199.53 Typical High $257.04 | Facility | None | $51.29 | $199.53 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $295.12 | Professional | None | $147.91 | $190.55 | $295.12 |
ConnectiCare Setting Professional Modifier None Typical Low $177.83 Median $199.53 Typical High $239.88 | Professional | None | $177.83 | $199.53 | $239.88 |
Health New England Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | None | $181.97 | $181.97 | $186.21 |
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 $89.13 Median $165.96 Typical High $363.08 | Professional | None | $89.13 | $165.96 | $363.08 |
4 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 $64.57 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $64.57 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $40.74 | Professional | 53 · Discontinued | $25.70 | $30.20 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $22.91 Typical High $30.90 | Professional | 55 · Aftercare only | $19.05 | $22.91 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.14 Typical High $20.42 | Professional | 56 · Pre-op care only | $12.88 | $15.14 | $20.42 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 12th of 51
$186
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.