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 $4,897.79 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,897.79 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $537.03 | Professional | None | $363.08 | $537.03 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $6,760.83 Typical High $13,489.63 | Facility | None | $2,754.23 | $6,760.83 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $851.14 | Professional | None | $346.74 | $645.65 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $2,454.71 | Facility | None | $741.31 | $1,905.46 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $831.76 | Professional | None | $457.09 | $602.56 | $831.76 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $707.95 | Professional | None | $398.11 | $602.56 | $707.95 |
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 $316.23 Median $549.54 Typical High $1,230.27 | Professional | None | $316.23 | $549.54 | $1,230.27 |
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 $181.97 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $181.97 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $72.44 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $269.15 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $54.95 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $36.31 | $53.70 | $53.70 |
Where Connecticut sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 12th of 51
$646
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.