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 $12.59 Median $17.38 Typical High $17.38 | Professional | None | $12.59 | $17.38 | $17.38 |
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 $10.47 Median $16.60 Typical High $21.38 | Professional | None | $10.47 | $16.60 | $21.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $15.49 Median $25.12 Typical High $29.51 | Professional | 50 · Both sides | $15.49 | $25.12 | $29.51 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $6.61 Median $10.47 Typical High $12.30 | Professional | 62 · Two surgeons | $6.61 | $10.47 | $12.30 |
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 $17.78 Median $27.54 Typical High $100.00 | Professional | None | $17.78 | $27.54 | $100.00 |
ConnectiCare Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
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 $11.22 Median $17.38 Typical High $33.11 | Professional | None | $11.22 | $17.38 | $33.11 |
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 $6.31 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $6.31 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $2.51 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $1.91 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.26 | $1.74 | $1.74 |
Where Connecticut sits
The same service costs 12.3 times more in Florida 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· 37th of 51
$17.38
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.