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 $2,754.23 Median $4,365.16 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,365.16 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $562.34 | Professional | None | $181.97 | $346.74 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $6,456.54 | Facility | None | $2,754.23 | $3,801.89 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $1,148.15 | Professional | None | $295.12 | $436.52 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,819.70 Typical High $2,290.87 | Facility | None | $549.54 | $1,819.70 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $724.44 | Professional | None | $239.88 | $346.74 | $724.44 |
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 $512.86 Median $630.96 Typical High $794.33 | Professional | None | $512.86 | $630.96 | $794.33 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $158.49 Median $407.38 Typical High $1,000.00 | Professional | None | $158.49 | $407.38 | $1,000.00 |
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 $91.20 Median $162.18 Typical High $281.84 | Professional | 52 · Reduced service | $91.20 | $162.18 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $64.57 Typical High $112.20 | Professional | 53 · Discontinued | $36.31 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $239.88 Typical High $426.58 | Professional | 54 · Surgery only | $134.90 | $239.88 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $47.86 Typical High $85.11 | Professional | 55 · Aftercare only | $26.92 | $47.86 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $32.36 Typical High $56.23 | Professional | 56 · Pre-op care only | $18.20 | $32.36 | $56.23 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 15th of 51
$427
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.