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 $4,570.88 Median $8,511.38 Typical High $16,218.10 | Facility | None | $4,570.88 | $8,511.38 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $5,248.07 | Professional | None | $186.21 | $295.12 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $13,803.84 Typical High $16,595.87 | Facility | None | $954.99 | $13,803.84 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $380.19 | Professional | None | $177.83 | $257.04 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $8,511.38 Typical High $10,715.19 | Facility | None | $851.14 | $8,511.38 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $5,888.44 | Professional | None | $269.15 | $407.38 | $5,888.44 |
ConnectiCare Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
ConnectiCare Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $190.55 Median $831.76 Typical High $7,943.28 | Professional | None | $190.55 | $831.76 | $7,943.28 |
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 $100.00 Median $144.54 Typical High $2,630.27 | Professional | 52 · Reduced service | $100.00 | $144.54 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $58.88 Typical High $1,047.13 | Professional | 53 · Discontinued | $39.81 | $58.88 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $218.78 Typical High $3,981.07 | Professional | 54 · Surgery only | $147.91 | $218.78 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $43.65 Typical High $794.33 | Professional | 55 · Aftercare only | $30.20 | $43.65 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $29.51 Typical High $524.81 | Professional | 56 · Pre-op care only | $19.95 | $29.51 | $524.81 |
Where Connecticut sits
The same service costs 33.1 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· 46th of 51
$331
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.