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 Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $114.82 | Professional | None | $83.18 | $114.82 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $138.04 | Professional | None | $69.18 | $109.65 | $138.04 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $165.96 Typical High $194.98 | Professional | 50 · Both sides | $102.33 | $165.96 | $194.98 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $42.66 Median $69.18 Typical High $81.28 | Professional | 62 · Two surgeons | $42.66 | $69.18 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $1,659.59 | Facility | None | $426.58 | $758.58 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $190.55 | Professional | None | $97.72 | $123.03 | $190.55 |
ConnectiCare Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | None | $131.83 | $131.83 | $134.90 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $223.87 | Professional | None | $74.13 | $112.20 | $223.87 |
4 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 $41.69 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $41.69 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $16.60 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $12.30 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.32 | $11.48 | $11.48 |
Where Connecticut sits
The same service costs 4.5 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· 31st of 51
$115
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.