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 $194.98 Median $354.81 Typical High $1,258.93 | Professional | None | $194.98 | $354.81 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $602.56 Typical High $1,698.24 | Professional | None | $239.88 | $602.56 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $891.25 Typical High $2,570.40 | Professional | 50 · Both sides | $363.08 | $891.25 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,348.96 Typical High $1,659.59 | Facility | None | $549.54 | $1,348.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $851.14 Typical High $1,862.09 | Professional | None | $251.19 | $851.14 | $1,862.09 |
ConnectiCare Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,348.96 | $1,513.56 |
Health New England Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
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 $181.97 Median $602.56 Typical High $2,187.76 | Professional | None | $181.97 | $602.56 | $2,187.76 |
1 more rate 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 54 · Surgery only Typical Low $181.97 Median $239.88 Typical High $933.25 | Professional | 54 · Surgery only | $181.97 | $239.88 | $933.25 |
Where Connecticut sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 19th of 51
$813
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.