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 $165.96 Median $194.98 Typical High $338.84 | Professional | None | $165.96 | $194.98 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $8,912.51 | Facility | None | $1,819.70 | $3,162.28 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $549.54 | Professional | None | $151.36 | $257.04 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $2,187.76 | Facility | None | $707.95 | $1,380.38 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $512.86 | Professional | None | $154.88 | $223.87 | $512.86 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $758.58 | Facility | None | $331.13 | $457.09 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $524.81 | Professional | None | $331.13 | $331.13 | $524.81 |
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 $123.03 Median $281.84 Typical High $691.83 | Professional | None | $123.03 | $281.84 | $691.83 |
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 $83.18 Median $97.72 Typical High $169.82 | Professional | 52 · Reduced service | $83.18 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $67.61 | Professional | 53 · Discontinued | $33.11 | $38.90 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $147.91 Typical High $257.04 | Professional | 54 · Surgery only | $125.89 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $29.51 Typical High $51.29 | Professional | 55 · Aftercare only | $25.12 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.50 Typical High $33.88 | Professional | 56 · Pre-op care only | $16.60 | $19.50 | $33.88 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 18th of 51
$309
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.