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 $812.83 Median $1,202.26 Typical High $1,202.26 | Professional | None | $812.83 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $26,915.35 Typical High $44,668.36 | Facility | None | $7,585.78 | $26,915.35 | $44,668.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $1,202.26 Typical High $1,479.11 | Professional | None | $707.95 | $1,202.26 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,258.93 | $2,089.30 |
ConnectiCare Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,630.27 | Professional | None | $812.83 | $1,318.26 | $2,630.27 |
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 $416.87 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $416.87 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $165.96 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $630.96 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $125.89 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $83.18 | $120.23 | $120.23 |
Where Connecticut sits
The same service costs 4.6 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· 15th of 51
$1,259
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.