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 $3,311.31 Median $4,677.35 Typical High $10,471.29 | Facility | None | $3,311.31 | $4,677.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $912.01 Typical High $2,089.30 | Professional | None | $234.42 | $912.01 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $27,542.29 Median $27,542.29 Typical High $37,153.52 | Facility | None | $27,542.29 | $27,542.29 | $37,153.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $1,148.15 Typical High $3,311.31 | Professional | None | $407.38 | $1,148.15 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $1,737.80 Typical High $5,011.87 | Professional | 50 · Both sides | $602.56 | $1,737.80 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $2,344.23 | Professional | None | $309.03 | $549.54 | $2,344.23 |
ConnectiCare Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,659.59 | $1,949.84 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,890.45 | $7,079.46 |
United Setting Professional Modifier None Typical Low $263.03 Median $1,096.48 Typical High $3,715.35 | Professional | None | $263.03 | $1,096.48 | $3,715.35 |
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 $134.90 Median $457.09 Typical High $1,047.13 | Professional | 52 · Reduced service | $134.90 | $457.09 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $181.97 Typical High $426.58 | Professional | 53 · Discontinued | $54.95 | $181.97 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $691.83 Typical High $1,584.89 | Professional | 54 · Surgery only | $204.17 | $691.83 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $138.04 Typical High $316.23 | Professional | 55 · Aftercare only | $40.74 | $138.04 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $91.20 Typical High $208.93 | Professional | 56 · Pre-op care only | $27.54 | $91.20 | $208.93 |
Where Connecticut sits
The same service costs 6.5 times more in Washington than in Maryland. 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· 31st of 51
$1,148
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.