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 $107.15 Median $173.78 Typical High $173.78 | Professional | None | $107.15 | $173.78 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $223.87 | Professional | None | $102.33 | $169.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,265.80 | Facility | None | $501.19 | $1,000.00 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $245.47 | Professional | None | $128.82 | $169.82 | $245.47 |
ConnectiCare Setting Professional Modifier None Typical Low $97.72 Median $158.49 Typical High $169.82 | Professional | None | $97.72 | $158.49 | $169.82 |
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 $95.50 Median $158.49 Typical High $363.08 | Professional | None | $95.50 | $158.49 | $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 $53.70 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $53.70 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.38 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $81.28 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $16.22 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.72 | $17.38 | $17.38 |
Where Connecticut sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 13th of 51
$170
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.