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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $707.95 Typical High $1,202.26 | Professional | None | $234.42 | $707.95 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,760.83 Median $11,748.98 Typical High $13,803.84 | Facility | None | $6,760.83 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $741.31 Typical High $1,995.26 | Professional | None | $371.54 | $741.31 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $1,548.82 | Professional | None | $316.23 | $489.78 | $1,548.82 |
ConnectiCare Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,819.70 | Professional | None | $977.24 | $1,258.93 | $1,819.70 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $8,709.64 Typical High $12,882.50 | Facility | None | $5,754.40 | $8,709.64 | $12,882.50 |
United Setting Professional Modifier None Typical Low $223.87 Median $776.25 Typical High $2,630.27 | Professional | None | $223.87 | $776.25 | $2,630.27 |
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 $123.03 Median $346.74 Typical High $602.56 | Professional | 52 · Reduced service | $123.03 | $346.74 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $138.04 Typical High $239.88 | Professional | 53 · Discontinued | $48.98 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $512.86 Typical High $891.25 | Professional | 54 · Surgery only | $186.21 | $512.86 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $104.71 Typical High $177.83 | Professional | 55 · Aftercare only | $37.15 | $104.71 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $69.18 Typical High $120.23 | Professional | 56 · Pre-op care only | $24.55 | $69.18 | $120.23 |
Where Connecticut sits
The same service costs 5.4 times more in Wisconsin than in Maryland. 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· 30th of 51
$759
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.