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 $245.47 Median $363.08 Typical High $363.08 | Professional | None | $245.47 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $380.19 | Professional | None | $213.80 | $295.12 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,019.95 Typical High $3,801.89 | Facility | None | $549.54 | $3,019.95 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $549.54 | Professional | None | $302.00 | $371.54 | $549.54 |
ConnectiCare Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $812.83 | Professional | None | $323.59 | $407.38 | $812.83 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $851.14 | Professional | None | $218.78 | $380.19 | $851.14 |
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 $123.03 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $123.03 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $48.98 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $181.97 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $36.31 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $24.55 | $36.31 | $36.31 |
Where Connecticut sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 25th of 51
$324
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.