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 $114.82 Median $165.96 Typical High $229.09 | Professional | None | $114.82 | $165.96 | $229.09 |
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 $107.15 Median $186.21 Typical High $295.12 | Professional | None | $107.15 | $186.21 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $1,318.26 | Facility | None | $501.19 | $758.58 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $288.40 | Professional | None | $134.90 | $199.53 | $288.40 |
ConnectiCare Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None | $229.09 | $229.09 | $269.15 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $316.23 | Professional | None | $100.00 | $158.49 | $316.23 |
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 $57.54 Median $83.18 Typical High $114.82 | Professional | 52 · Reduced service | $57.54 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $33.11 Typical High $45.71 | Professional | 53 · Discontinued | $22.91 | $33.11 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $123.03 Typical High $173.78 | Professional | 54 · Surgery only | $87.10 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $25.12 Typical High $34.67 | Professional | 55 · Aftercare only | $17.38 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $16.60 Typical High $22.91 | Professional | 56 · Pre-op care only | $11.48 | $16.60 | $22.91 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 15th of 51
$200
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.