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 $2,691.53 Median $4,897.79 Typical High $7,585.78 | Facility | None | $2,691.53 | $4,897.79 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $213.80 | Professional | None | $95.50 | $138.04 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $7,585.78 | Facility | None | $2,398.83 | $3,890.45 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $467.74 | Professional | None | $158.49 | $229.09 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $3,630.78 | Facility | None | $741.31 | $2,951.21 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $316.23 | Professional | None | $144.54 | $223.87 | $316.23 |
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 $186.21 Median $229.09 Typical High $331.13 | Professional | None | $186.21 | $229.09 | $331.13 |
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 $91.20 Median $199.53 Typical High $389.05 | Professional | None | $91.20 | $199.53 | $389.05 |
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 $52.48 Median $69.18 Typical High $107.15 | Professional | 52 · Reduced service | $52.48 | $69.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $27.54 Typical High $42.66 | Professional | 53 · Discontinued | $20.89 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $102.33 Typical High $158.49 | Professional | 54 · Surgery only | $77.62 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $20.42 Typical High $31.62 | Professional | 55 · Aftercare only | $15.49 | $20.42 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $13.80 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.47 | $13.80 | $21.38 |
Where Connecticut sits
The same service costs 3.6 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· 13th 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.