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 $102.33 Median $154.88 Typical High $234.42 | Professional | None | $102.33 | $154.88 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $281.84 | Professional | None | $104.71 | $158.49 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,174.90 | Facility | None | $478.63 | $707.95 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $354.81 | Professional | None | $123.03 | $204.17 | $354.81 |
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 $257.04 Median $257.04 Typical High $281.84 | Professional | None | $257.04 | $257.04 | $281.84 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $398.11 | Professional | None | $91.20 | $173.78 | $398.11 |
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 $63.10 Median $72.44 Typical High $114.82 | Professional | 52 · Reduced service | $63.10 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.84 Typical High $46.77 | Professional | 53 · Discontinued | $25.70 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $107.15 Typical High $173.78 | Professional | 54 · Surgery only | $95.50 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $21.38 Typical High $34.67 | Professional | 55 · Aftercare only | $19.05 | $21.38 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $14.45 Typical High $23.44 | Professional | 56 · Pre-op care only | $12.59 | $14.45 | $23.44 |
Where Connecticut sits
The same service costs 3.6 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· 17th of 51
$186
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.