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 $4,466.84 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,466.84 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $109.65 | Professional | None | $53.70 | $69.18 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $95.50 Typical High $147.91 | Professional | None | $47.86 | $95.50 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $177.83 | Facility | None | $50.12 | $100.00 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $91.20 Typical High $177.83 | Professional | None | $52.48 | $91.20 | $177.83 |
ConnectiCare Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | None | $102.33 | $102.33 | $147.91 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $41.69 Median $81.28 Typical High $190.55 | Professional | None | $41.69 | $81.28 | $190.55 |
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 $39.81 Median $52.48 Typical High $83.18 | Professional | 54 · Surgery only | $39.81 | $52.48 | $83.18 |
Where Connecticut sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 10th of 51
$95.50
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.