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 $97.72 Median $138.04 Typical High $138.04 | Professional | None | $97.72 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $7,585.78 | Facility | None | $2,137.96 | $2,884.03 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $281.84 | Professional | None | $125.89 | $165.96 | $281.84 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $245.47 Typical High $426.58 | Professional | 50 · Both sides | $190.55 | $245.47 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $177.83 Typical High $338.84 | Professional | None | $91.20 | $177.83 | $338.84 |
ConnectiCare Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | None | $204.17 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $6,165.95 Typical High $9,549.93 | Facility | None | $3,311.31 | $6,165.95 | $9,549.93 |
United Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $380.19 | Professional | None | $75.86 | $154.88 | $380.19 |
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 $48.98 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.77 | $13.80 | $13.80 |
Where Connecticut sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 9th of 51
$224
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.