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 $120.23 Median $169.82 Typical High $331.13 | Professional | None | $120.23 | $169.82 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $10,232.93 | Facility | None | $2,754.23 | $3,890.45 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $512.86 | Professional | None | $120.23 | $251.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,311.31 Typical High $4,168.69 | Facility | None | $549.54 | $3,311.31 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $501.19 | Professional | None | $134.90 | $239.88 | $501.19 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | None | $426.58 | $426.58 | $436.52 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $524.81 | Professional | None | $104.71 | $229.09 | $524.81 |
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 $75.86 Median $85.11 Typical High $165.96 | Professional | 52 · Reduced service | $75.86 | $85.11 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $66.07 | Professional | 53 · Discontinued | $30.20 | $33.88 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $125.89 Typical High $245.47 | Professional | 54 · Surgery only | $112.20 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $25.12 Typical High $50.12 | Professional | 55 · Aftercare only | $22.39 | $25.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.98 Typical High $33.11 | Professional | 56 · Pre-op care only | $15.14 | $16.98 | $33.11 |
Where Connecticut sits
The same service costs 4.1 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· 20th of 51
$295
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.