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 $85.11 Median $154.88 Typical High $263.03 | Professional | None | $85.11 | $154.88 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,949.84 | $3,019.95 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $602.56 | Professional | None | $144.54 | $208.93 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,548.82 | Facility | None | $512.86 | $1,071.52 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $354.81 | Professional | None | $128.82 | $239.88 | $354.81 |
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 $223.87 Median $288.40 Typical High $416.87 | Professional | None | $223.87 | $288.40 | $416.87 |
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 $79.43 Median $213.80 Typical High $467.74 | Professional | None | $79.43 | $213.80 | $467.74 |
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 $46.77 Median $77.62 Typical High $131.83 | Professional | 52 · Reduced service | $46.77 | $77.62 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $30.90 Typical High $52.48 | Professional | 53 · Discontinued | $18.62 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $114.82 Typical High $199.53 | Professional | 54 · Surgery only | $69.18 | $114.82 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $22.91 Typical High $39.81 | Professional | 55 · Aftercare only | $13.80 | $22.91 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $15.49 Typical High $26.30 | Professional | 56 · Pre-op care only | $9.33 | $15.49 | $26.30 |
Where Connecticut sits
The same service costs 4.1 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
$219
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.