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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $269.15 Typical High $2,754.23 | Professional | None | $158.49 | $269.15 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $1,230.27 Typical High $2,884.03 | Professional | None | $204.17 | $1,230.27 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $1,819.70 Typical High $4,365.16 | Professional | 50 · Both sides | $302.00 | $1,819.70 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,398.83 Typical High $4,265.80 | Facility | None | $851.14 | $2,398.83 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $3,019.95 | Professional | None | $229.09 | $436.52 | $3,019.95 |
ConnectiCare Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $177.83 Median $891.25 Typical High $4,786.30 | Professional | None | $177.83 | $891.25 | $4,786.30 |
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 $114.82 Median $134.90 Typical High $1,380.38 | Professional | 52 · Reduced service | $114.82 | $134.90 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $53.70 Typical High $549.54 | Professional | 53 · Discontinued | $46.77 | $53.70 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $204.17 Typical High $2,041.74 | Professional | 54 · Surgery only | $173.78 | $204.17 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $40.74 Typical High $416.87 | Professional | 55 · Aftercare only | $34.67 | $40.74 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $26.92 Typical High $275.42 | Professional | 56 · Pre-op care only | $23.44 | $26.92 | $275.42 |
Where Connecticut sits
The same service costs 8.5 times more in Wisconsin than in Nebraska. 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· 12th of 51
$1,585
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.