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 $107.15 Median $346.74 Typical High $2,344.23 | Professional | None | $107.15 | $346.74 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $794.33 Typical High $2,951.21 | Professional | None | $70.79 | $794.33 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $4,897.79 Typical High $6,025.60 | Facility | None | $851.14 | $4,897.79 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $2,951.21 | Professional | None | $154.88 | $234.42 | $2,951.21 |
ConnectiCare Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $8,317.64 | Professional | None | $2,290.87 | $2,754.23 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $112.20 Median $416.87 Typical High $5,370.32 | Professional | None | $112.20 | $416.87 | $5,370.32 |
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 $64.57 Median $89.13 Typical High $1,174.90 | Professional | 52 · Reduced service | $64.57 | $89.13 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $35.48 Typical High $467.74 | Professional | 53 · Discontinued | $25.70 | $35.48 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $131.83 Typical High $1,778.28 | Professional | 54 · Surgery only | $95.50 | $131.83 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $26.30 Typical High $354.81 | Professional | 55 · Aftercare only | $19.05 | $26.30 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $102.33 Typical High $234.42 | Professional | 56 · Pre-op care only | $15.14 | $102.33 | $234.42 |
Where Connecticut sits
The same service costs 19.1 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· 44th of 51
$1,096
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.