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 $537.03 Median $851.14 Typical High $851.14 | Professional | None | $537.03 | $851.14 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $7,079.46 Typical High $16,218.10 | Facility | None | $2,754.23 | $7,079.46 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $707.95 Typical High $1,047.13 | Professional | None | $436.52 | $707.95 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $1,047.13 Typical High $1,548.82 | Professional | 50 · Both sides | $630.96 | $1,047.13 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $5,623.41 Typical High $6,918.31 | Facility | None | $549.54 | $5,623.41 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,174.90 | Professional | None | $645.65 | $741.31 | $1,174.90 |
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 $776.25 Median $776.25 Typical High $812.83 | Professional | None | $776.25 | $776.25 | $812.83 |
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 $457.09 Median $630.96 Typical High $1,513.56 | Professional | None | $457.09 | $630.96 | $1,513.56 |
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 $269.15 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $269.15 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $107.15 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $407.38 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $81.28 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $53.70 | $85.11 | $85.11 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska than in New York. 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· 16th 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.