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 $125.89 Median $186.21 Typical High $269.15 | Professional | None | $125.89 | $186.21 | $269.15 |
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 $177.83 Median $281.84 Typical High $588.84 | Professional | None | $177.83 | $281.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,380.38 Typical High $1,659.59 | Facility | None | $549.54 | $1,380.38 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $398.11 | Professional | None | $128.82 | $234.42 | $398.11 |
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 $40.74 Median $295.12 Typical High $398.11 | Professional | None | $40.74 | $295.12 | $398.11 |
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 $109.65 Median $218.78 Typical High $478.63 | Professional | None | $109.65 | $218.78 | $478.63 |
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 $63.10 Median $83.18 Typical High $134.90 | Professional | 52 · Reduced service | $63.10 | $83.18 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.88 Typical High $53.70 | Professional | 53 · Discontinued | $25.12 | $33.88 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $125.89 Typical High $204.17 | Professional | 54 · Surgery only | $95.50 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $25.12 Typical High $40.74 | Professional | 55 · Aftercare only | $19.05 | $25.12 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $16.60 Typical High $26.92 | Professional | 56 · Pre-op care only | $12.59 | $16.60 | $26.92 |
Where Connecticut sits
The same service costs 3.8 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· 14th of 51
$251
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.