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 $60.26 Median $107.15 Typical High $199.53 | Professional | None | $60.26 | $107.15 | $199.53 |
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 $91.20 Typical High $138.04 | Professional | None | $61.66 | $91.20 | $138.04 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $138.04 Typical High $208.93 | Professional | 50 · Both sides | $91.20 | $138.04 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $1,000.00 | Facility | None | $50.12 | $51.29 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $363.08 | Professional | None | $89.13 | $151.36 | $363.08 |
ConnectiCare Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $331.13 | Professional | None | $154.88 | $154.88 | $331.13 |
Health New England Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
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 $63.10 Median $138.04 Typical High $363.08 | Professional | None | $63.10 | $138.04 | $363.08 |
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 $33.88 Median $51.29 Typical High $85.11 | Professional | 52 · Reduced service | $33.88 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $20.42 Typical High $33.88 | Professional | 53 · Discontinued | $13.49 | $20.42 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $75.86 Typical High $128.82 | Professional | 54 · Surgery only | $50.12 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $15.14 Typical High $25.70 | Professional | 55 · Aftercare only | $10.00 | $15.14 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $10.23 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.76 | $10.23 | $16.98 |
Where Connecticut sits
The same service costs 4.0 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· 33rd of 51
$123
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.