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 $407.38 Median $630.96 Typical High $630.96 | Professional | None | $407.38 | $630.96 | $630.96 |
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 $331.13 Median $537.03 Typical High $776.25 | Professional | None | $331.13 | $537.03 | $776.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $794.33 Typical High $1,174.90 | Professional | 50 · Both sides | $478.63 | $794.33 | $1,174.90 |
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 $478.63 Median $549.54 Typical High $891.25 | Professional | None | $478.63 | $549.54 | $891.25 |
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 $575.44 Median $575.44 Typical High $616.60 | Professional | None | $575.44 | $575.44 | $616.60 |
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 $346.74 Median $478.63 Typical High $1,122.02 | Professional | None | $346.74 | $478.63 | $1,122.02 |
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 $204.17 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $204.17 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $81.28 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $302.00 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $60.26 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $40.74 | $64.57 | $64.57 |
Where Connecticut sits
The same service costs 7.8 times more in Oklahoma 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· 21st of 51
$617
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.