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 $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $2,187.76 | Professional | None | $363.08 | $602.56 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $891.25 Typical High $2,691.53 | Professional | None | $380.19 | $891.25 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $1,318.26 Typical High $3,981.07 | Professional | 50 · Both sides | $562.34 | $1,318.26 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,000.00 | $3,467.37 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,479.11 Typical High $3,311.31 | Professional | None | $446.68 | $1,479.11 | $3,311.31 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $831.76 | Facility | None | $512.86 | $707.95 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $1,995.26 Median $4,466.84 Typical High $4,466.84 | Professional | None | $1,995.26 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $316.23 Median $1,148.15 Typical High $4,570.88 | Professional | None | $316.23 | $1,148.15 | $4,570.88 |
3 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 54 · Surgery only Typical Low $338.84 Median $371.54 Typical High $1,621.81 | Professional | 54 · Surgery only | $338.84 | $371.54 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $74.13 Typical High $323.59 | Professional | 55 · Aftercare only | $67.61 | $74.13 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $50.12 Typical High $218.78 | Professional | 56 · Pre-op care only | $44.67 | $50.12 | $218.78 |
Where Connecticut sits
The same service costs 4.8 times more in Alaska 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· 26th 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.